Credentialing is how an insurance company reviews your qualifications before you can see its members as an in-network provider. It can feel overwhelming, so here's what the process usually looks like.
What you'll need: your professional license, your NPI number, a complete and up-to-date CAQH profile, proof of malpractice insurance, and a W-9 and your work history.
The steps: 1. Gather your documents and complete your CAQH profile. 2. Apply to each insurance company you want to join. 3. Follow up until each application is reviewed. 4. Sign the contract and note your effective date.
How long it takes: Credentialing often takes several months, and timing varies by insurance company. Start early, especially if you're opening a practice or adding a new plan.
One important tip: Don't see clients under a new insurance plan until your effective date. Sessions before that date may not be paid.
Credentialing is mostly paperwork and follow-up, and that's exactly what I take off your plate. Tell me which insurance companies you'd like to join through my contact form.
This post is general information. Requirements vary by insurance company.
