Commercial

How to Get Credentialed with Alignment Healthcare in North Carolina

Network: Open
30-60 Days CAQH Required

Quick Overview

Timeline

30 - 60 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

North Carolina-Specific Requirements

Alignment Healthcare North Carolina. Medicare Advantage plans. Service areas include Wake County (Raleigh metro) and Mecklenburg County (Charlotte metro). Apply via Alignment Healthcare provider portal or CAQH ProView. ACCESS On-Demand care management platform for senior-centered care coordination. Value-based contracting model. Active North Carolina medical license, NPI, Medicare enrollment (PECOS), and malpractice insurance required. Processing: 30-60 days.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for North Carolina.

2

Complete Your CAQH ProView Profile

Alignment Healthcare requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.

3

Submit Your Application

Submit your completed enrollment package to Alignment Healthcare.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Board Certification

Conditional

Required if board certified; highly recommended

CV/Resume

5-year work history minimum

DEA License

Conditional

Required if prescribing controlled substances

Malpractice Insurance

Current malpractice insurance certificate

Medical License

Active state medical license required

NPI Certificate

Active NPI number required

Contact Information

Alignment Healthcare Credentialing

National

Alignment Healthcare General

National

Need Help?

Let PayerReady handle your Alignment Healthcare enrollment in North Carolina.

Get Started Free

Alignment Healthcare in Other States

FASTER APPROVALS

Ready to Eliminate Credentialing Delays?

Join hundreds of providers who eliminated credentialing headaches. Create your free account in minutes — no demos, no sales calls, just instant access.

Ready to streamline your credentialing?

Get Started Free