State Guide
Credentialing in Wisconsin
Complete enrollment guides for 37 insurance payers operating in Wisconsin.
Aetna
Aetna
Timeline: 90-150 days
CAQH Required
UnitedHealthcare
UnitedHealthcare
Timeline: 45-90 days
CAQH Required
Cigna Healthcare
Cigna Healthcare
Timeline: 45-90 days
CAQH Required
Anthem / Elevance Health
Anthem Blue Cross Blue Shield
Timeline: 45-90 days
CAQH Required
Humana
Humana
Timeline: 45-90 days
CAQH Required
Centene Corporation
Managed Health Services WI
Timeline: 60-90 days
CAQH Required
Molina Healthcare
Molina Healthcare of Wisconsin
Timeline: 60-90 days
CAQH Required
Anthem Blue Cross and Blue Shield of Wisconsin
Timeline: 45-60 days
CAQH Required
Wisconsin Medicaid
Timeline: 30-60 days
UnitedHealthcare Community Plan
UnitedHealthcare Community Plan of Wisconsin
CAQH Required
Molina Healthcare (Medicaid)
Molina Healthcare of Wisconsin
CAQH Required
Anthem HealthKeepers / Hoosier Healthwise
Anthem Blue Cross Blue Shield of Wisconsin (Medicaid)
CAQH Required
TRICARE
Timeline: 30-90 days
TRICARE East Region (Humana Military)
Timeline: 30-60 days
CAQH Required
CHAMPVA
Timeline: 14-45 days
Delta Dental
Timeline: 90-120 days
Cigna Dental
Timeline: 45-90 days
CAQH Required
MetLife Dental
Timeline: 60-120 days
Guardian Dental
Timeline: 60-90 days
Aetna Dental
Timeline: 60-120 days
CAQH Required
United Concordia
Timeline: 45-90 days
CAQH Required
DentaQuest
Timeline: 30-60 days
MCNA Dental
Timeline: 30-60 days
Liberty Dental Plan
Timeline: 30-60 days
Dental Network of America
Timeline: 60-90 days
VSP Vision Care
Timeline: 30-60 days
EyeMed Vision Care
Timeline: 30-60 days
Davis Vision
Timeline: 30-60 days
Spectera / UHC Vision
Timeline: 30-60 days
Optum Behavioral Health
Timeline: 30-45 days
CAQH Required
Carelon Behavioral Health
Timeline: 30-60 days
CAQH Required
Magellan Health
Timeline: 30-60 days
CAQH Required
Evernorth Behavioral Health
Timeline: 30-60 days
CAQH Required
Workers' Compensation
Timeline: 14-60 days
National Government Services (Jurisdiction K/J6)
Timeline: 60-90 days
CGS Administrators (DME B/C)
Timeline: 60-120 days
CareSource
CareSource Wisconsin
CAQH Required