What is insurance credentialing?

Also called medical, provider or physician credentialing — is a detailed process that reviews doctors’ qualifications and career history including their education, training, residency and licenses, as well as any specialty certificates.

How long does the credentialing process take?

The credentialing process generally takes between 90-120 days. When you sign up for credentialing with us, we waste no time getting your applications completed and submitted to insurance companies.

What are Insurance Panels?

Are you interested in getting on insurance panels, but not sure where to start? You’ve come to the right place. In this post, we’ll show you the the steps we take in order get you credentialed with insurance companies.

An insurance panel is a group of therapists (or doctors) who work with an insurance company to provide services to enrolled clients.

The process of getting on an insurance panel is known as getting credentialed. During this process, the insurance company determines whether or not to accept you onto their panel of providers. You’ll need to prove that you’re qualified before you’re invited to join.

Each insurance company operates its own panel. So, if you want to work with multiple insurance companies, you’ll need to get credentialed with each insurance company separately.

What is CAQH?

CAQH stands for Council of Affordable Quality Healthcare. This non-profit coalition was formed by insurance companies to create a single, uniform application for credentialing providers. More than 100 managed care companies use CAQH to process applications. Most major insurance companies verify your self-reported data through a CAQH.

That’s good news because if you’re applying to more than one panel, you’ll only need to fill out your CAQH application once. While setting up your CAQH, you can grant authorizations to any insurance company that you’d like to view your information.