FAQs
Streamlining Healthcare Credentialing for Providers
Explore answers to frequently asked questions about our credentialing services for fast and seamless guidance.
What is medical credentialing?
Medical credentialing is the process of verifying a healthcare provider’s qualifications, education, training, licenses, and professional background. It ensures the provider meets payer and facility standards to deliver patient care.
Which types of providers do you credential?
CredSolutions supports:
- Individual providers (MD, DO, NP, PA, LCSW, therapists, etc.)
- Group practices
- Clinics & facilities
- DMEs
- Home Health Agencies
- Speech & Occupational Therapy providers
How long does credentialing take?
Typical timelines:
- Typical timelines:
- Commercial payers: 60–120 days
- Medicare: 45–60 days
- Medicaid: 60–90 days
Timelines vary depending on the payer, state, and provider’s documentation.
Do you help with CAQH?
Yes! We:
- Create new CAQH profiles
- Update, re-attest, and manage profiles
- Upload all required documents
- Maintain the profile for future use
Do you assist with licensing as well?
Yes. CredSolutions provides support with:
- State medical licenses
- Facility licenses
- Renewals and verifications
Currently, we do not handle billing services — only credentialing, enrollment, and licensing.
How do I track my credentialing progress?
We provide:
- Regular status updates
- Email notifications
- Direct communication with your assigned specialist
Do you offer contract negotiation services?
Yes, we assist with:
- Fee schedule requests
- Contract review
- Negotiating reimbursement rates (when possible)
Why is credentialing important?
Credentialing is required for providers to:
- Join insurance networks
- Bill and receive payments from payers
- Work with hospitals, clinics, and facilities
Timelines vary depending on the payer, state, and provider’s documentation.
Which insurance payers do you work with?
We work with:
- Medicare
- Medicaid
- Commercial payers (BCBS, Aetna, Cigna, UHC, Humana, etc.)
- State-specific insurance plans
- Managed care organizations
- Third-party administrators (TPAs)
What documents are required for credentialing?
Common documents include:
- IRS
- NPI (individual & group)
- State license
- Malpractice insurance
- CV/Resume
- DEA (if applicable)
- Board certification
- W-9
Can you enroll my group or facility?
Yes. We handle:
- Group credentialing
- Linking providers to Tax ID
- Facility enrollment
- Medicaid & Medicare facility applications
- CLIA, NPI, and licensing support
Can I start seeing patients while credentialing is in progress?
Providers can see self-pay patients, but you cannot bill insurance until credentialing is fully approved.
What happens if an application is denied?
We review the reason, fix the issue, and resubmit at no additional cost (unless it is a payer-related fee).
How do I get started?
Just contact us at:
- 📧 info@credsolutionsllc.com
- 📞 (507) 218-2184
We’ll send you a short onboarding form and begin immediately.