What is the credentialing process?
We know a team that can make the credentialing process easy for you. If you’re looking for help with medical billing or credentialing, consider our friends at Credentialing.com. They’re available to offer a timely quote, or help you find a solution. You can reach them at 1-855-664-5154 or filling out this quick and easy form here.
How long does it take to get credentialed?
The credentialing process usually takes about 90 days, start to finish. Because of this, if you are getting ready to start a private practice, don’t wait until the week before you open your doors to start the process!
What if I don’t get on the insurance panels I want?
While getting on insurance panels can be complicated, applying to be on insurance panels isn’t like applying to graduate school where you send in your application and hope that you will be accepted.
Generally, when getting networked with insurance companies, credentialing teams know from early on whether they are willing to accept you into their network. After that, it’s just a matter of jumping through hoops until the credentialing process is finished.
Some companies have providers begin the credentialing process by completing a pre-application, called a “provider application request form.” If your request for an application is denied, your credentialing team can either (1) make an appeal on your behalf, or (2) move on and credential you with other insurance companies.
The insurance panels in my area are closed; can you help me get credentialed?
While it is true that some insurance panels in some areas are closed, more often people find that they are more or less “restricted.”
What your credentialing team can do is contact the insurance companies you are interested in working with and stress aspects of your practice that will make you more desirable to the insurance company. Perhaps you:
- Work with children
- Work with underserved populations
- Are certified in hypnosis, EMDR, or some other niche form of therapy
- Have extended office hours
- Offer weekend appointments
- Have a handicapped accessible office
- Offer therapy in a second language
- Have an affiliation with another practice or organization that is referring clients to you, who have said insurance plan
- Have a colleague who prescribed medication, who is willing to refer patients to you
- Have some other specialty they can use to persuade difficult insurance companies
While no one’s success rate is perfect in situations like this, clients are often surprised when they are able to get credentialed with insurance companies that their colleagues have informed them were “closed.”