Provider Credentialing
Everything you need to get credentialed with insurance companies, from your first NPI registration through re-credentialing. Guides, tools, and checklists for every major payer across all 50 states.
Essential Credentialing Guides
New to credentialing or need a refresher? These guides cover the full process, timelines, costs, and common mistakes.
What Is Provider Credentialing?
The fundamentals: what it is, who needs it, and what happens if you skip it.
How to Get Credentialed
The complete 7-step process from NPI to first billable claim.
How Long Does It Take?
Real timelines for Medicare, Medicaid, and 12 major commercial payers.
How Much Does It Cost?
$2,400 to $17,000 per provider. Full breakdown of every cost component.
47-Step Checklist
Every step from NPI registration to your first insured patient.
Credentialing vs Privileging
Three different processes that providers constantly confuse.
Credentialing by Payer Type
Medicare, Medicaid, and commercial payers each run their own enrollment process. Pick your payer type below.
Medicare
45-65 days via PECOS
Medicaid
30-180 days, varies by state
Commercial Payers
45-120 days by insurer
Free Credentialing Tools
No signup required. Look up NPIs, estimate timelines, and check your readiness before applying.
Guides by Provider Type
Credentialing requirements vary by license type. Find the guide for your specialty.
Primary Care Physicians
Which payers to join first, Medicare PECOS, CAQH taxonomy codes, and panel management.
NPs & Physician Assistants
State practice authority, billing under your own NPI, payer-specific APP requirements.
Therapists & Counselors
LPC, LCSW, LMFT, PsyD paneling requirements and payer acceptance by license.
Dentists
Delta Dental, MetLife, DHMO vs DPPO networks, and dental Medicaid enrollment.
Physical Therapists
PT vs PTA billing, direct access rules, workers comp enrollment.
Behavioral Health & SUD
SAMHSA certification, Medicaid carve-outs, and payer acceptance by license type.
Advanced Credentialing Topics
For practice managers, credentialing coordinators, and multi-provider organizations.
Checklists & Reference Materials
Downloadable checklists, glossary terms, and payer contact information.
Compare Credentialing Solutions
Side-by-side comparisons of credentialing vendors, pricing, and service models.
Ready to Cut Your Enrollment Timeline in Half?
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