Credentialing in Pennsylvania

Aetna

Aetna

Commercial

Network: Open

Timeline: 90-150 days

CAQH Required

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UnitedHealthcare

UnitedHealthcare

Commercial

Network: Open

Timeline: 45-90 days

CAQH Required

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Cigna Healthcare

Cigna Healthcare

Commercial

Network: Open

Timeline: 45-90 days

CAQH Required

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Anthem / Elevance Health

Anthem (Elevance Health)

Commercial

Network: Open

Timeline: 45-90 days

CAQH Required

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Humana

Humana

Commercial

Network: Open

Timeline: 45-90 days

CAQH Required

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Centene Corporation

Pennsylvania Health & Wellness

Commercial

Network: Open

Timeline: 60-90 days

CAQH Required

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Molina Healthcare

Molina Healthcare

Commercial

Network: Open

Timeline: 60-90 days

CAQH Required

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Highmark Blue Cross Blue Shield (Western PA)

Blue Cross Blue Shield

Network: Open

Timeline: 45-90 days

CAQH Required

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Independence Blue Cross

Blue Cross Blue Shield

Network: Open

Timeline: 60-120 days

CAQH Required

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Pennsylvania Medical Assistance

Medicaid

Network: Open

Timeline: 30-60 days

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UnitedHealthcare Community Plan

UnitedHealthcare Community Plan of Pennsylvania

Managed Care Organization

Network: Open

CAQH Required

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Aetna Better Health

Aetna Better Health of Pennsylvania

Managed Care Organization

Network: Open

CAQH Required

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AmeriHealth Caritas

AmeriHealth Caritas Pennsylvania

Managed Care Organization

Network: Open

Timeline: 30-90 days

CAQH Required

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TRICARE

TRICARE

Network: Open

Timeline: 30-90 days

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TRICARE East Region (Humana Military)

TRICARE

Network: Open

Timeline: 30-60 days

CAQH Required

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CHAMPVA

CHAMPVA

Network: Open

Timeline: 14-45 days

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Delta Dental

Dental

Network: Open

Timeline: 90-120 days

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Cigna Dental

Dental

Network: Open

Timeline: 45-90 days

CAQH Required

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MetLife Dental

Dental

Network: Open

Timeline: 60-120 days

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Guardian Dental

Dental

Network: Open

Timeline: 60-90 days

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Aetna Dental

Dental

Network: Open

Timeline: 60-120 days

CAQH Required

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United Concordia

Dental

Network: Open

Timeline: 45-90 days

CAQH Required

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DentaQuest

Dental

Network: Open

Timeline: 30-60 days

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MCNA Dental

Dental

Network: Open

Timeline: 30-60 days

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Liberty Dental Plan

Dental

Network: Open

Timeline: 30-60 days

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Dental Network of America

Dental

Network: Open

Timeline: 60-90 days

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VSP Vision Care

Vision

Network: Open

Timeline: 30-60 days

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EyeMed Vision Care

Vision

Network: Open

Timeline: 30-60 days

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Davis Vision

Vision

Network: Open

Timeline: 30-60 days

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Spectera / UHC Vision

Vision

Network: Open

Timeline: 30-60 days

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Optum Behavioral Health

Behavioral Health

Network: Open

Timeline: 30-45 days

CAQH Required

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Carelon Behavioral Health

Behavioral Health

Network: Open

Timeline: 30-60 days

CAQH Required

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Magellan Health

Behavioral Health

Network: Open

Timeline: 30-60 days

CAQH Required

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Evernorth Behavioral Health

Behavioral Health

Network: Open

Timeline: 30-60 days

CAQH Required

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Clover Health

Commercial

Network: Open

Timeline: 45-60 days

CAQH Required

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Devoted Health

Commercial

Network: Open

Timeline: 14-21 days

CAQH Required

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Workers' Compensation

Workers' Compensation

Network: Open

Timeline: 14-60 days

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Novitas Solutions (Jurisdiction H/L)

Medicare

Network: Open

Timeline: 60-90 days

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Noridian Healthcare Solutions (DME A/D)

Medicare

Network: Open

Timeline: 60-120 days

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