Credentialing & Provider Enrollment

Get Credentialed Faster. Start Seeing Patients Sooner.

MedBill24's credentialing specialists handle the entire enrollment process, from CAQH setup to payer contract negotiations, so you can join preferred networks and start billing without delays.

HIPAA-compliant$0 setup feeWeekly status updates
Doctor with a patient in a clinic
Ready to billStart seeing patients sooner
Preferred networksJoin without delays
Enrollment trackerLive status
CAQH Profile
In setup
Medicare PECOS
In setup
Medicaid
In setup
Commercial payers
In setup
Quick Answer

How long does provider credentialing take?

Provider credentialing typically takes 60 to 120 days, depending on the payer. It verifies provider qualifications and enrolls them with insurance networks so they can bill and get paid. Starting early and submitting complete applications avoids costly delays in reimbursement.

Doctor and patient in a modern clinic office
Every day countsUnbilled days can't be recovered
Revenue impact

Why Provider Credentialing Directly Impacts Your Revenue

Without proper credentialing, you cannot bill insurance, period. Every day your credentialing is incomplete is a day you cannot bill the payer, which translates directly to lost, unrecoverable revenue.

For a physician seeing 20 patients daily, a 30-day enrollment delay can mean $30,000–$60,000 in deferred reimbursement.

Estimate the cost of a delay

Scaled from the example above ($30,000–$60,000 for 20 patients a day over 30 days).

Potential deferred reimbursement$30,000 – $60,000

Illustrative only: $50–$100 per patient visit × patients per day × days of delay. Actual figures vary by practice and payer mix.

What's included

Complete Enrollment, Start to Finish

CAQH Profile Setup & Maintenance

NPI Registration

Type 1 & Type 2

PECOS Enrollment for Medicare

Medicaid Provider Enrollment

Commercial Payer Applications

AetnaBCBSCignaUHCHumana

Primary Source Verification (PSV)

Contract Review & Negotiation Support

Re-Credentialing & Re-Attestation

Ongoing Tracking & Status Updates

Timelines

How Long Does Provider Credentialing Take?

0 days306090120 days

Medicare PECOS Enrollment: 30–60 Days

Standard processing from a clean, complete submission. We submit error-free applications the first time to avoid resubmission delays.

30–60

Medicaid Enrollment: 45–90 Days

Varies by state. We track your application weekly and respond immediately to any state requests for additional information.

45–90

Commercial Payer Credentialing: 60–120 Days

We maintain direct relationships with credentialing departments at all major commercial payers to expedite where possible.

60–120
Start early and submit complete applications to avoid costly delays in reimbursement.
30-60Days Medicare
60-120Days Commercial
$0Setup Fee
WeeklyStatus Updates
FAQ

Frequently Asked Questions

Everything you need to know before partnering with MedBill24.


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What is CAQH and why do I need it?
CAQH is an online database where providers store their credentialing information in one place. Many commercial payers pull from it when reviewing applications, so an accurate, complete and regularly re-attested profile helps avoid delays. We set up and maintain your CAQH profile for you.
Can you credential multiple providers at once?
Yes. We can work on enrollment for several providers and payers at the same time, tracking every application and sending weekly status updates so you always know where each one stands.
What is re-credentialing?
Re-credentialing is the periodic update and re-verification of a provider’s qualifications that payers require to keep them in network. It also includes re-attestation of CAQH data. We track the deadlines and handle the paperwork so your enrollment never lapses.

Ready to Take Control of Your Revenue Cycle?

Book a free, no-obligation RCM audit. We'll show you exactly where your practice is losing revenue, and how to fix it.

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