FAQs
1. What is provider credentialing?
Provider credentialing is the process of verifying a healthcare provider’s qualifications and enrolling them with insurance companies so they can legally bill and receive payments from payers such as Medicare, Medicaid, and commercial insurance plans.
2. Which providers do you work with?
We work with:
- Individual providers
- Group practices
- Clinics and facilities
- Home health agencies
- Behavioral health providers
- Laboratories, DMEs, and therapy practices
3. Which insurance companies do you credential with?
We credential with:
- Medicare
- Medicaid (all states)
- Aetna
- UnitedHealthcare
- Cigna
- BCBS
- Molina
- Humana
- Multiplan
- Optum
- Tricare and many others
4. How long does credentialing take?
Credentialing typically takes 30–90 business days, depending on the payer and the provider’s documentation.
5. What documents are required?
Common documents include:
- State license
- DEA (if applicable)
- NPI number
- CV
- Professional liability insurance
- W-9 form
- Practice location details
6. Do you handle CAQH setup and maintenance?
Yes. We assist with CAQH profile creation, updates, re-attestations, and ongoing maintenance for individual providers.
7. Do facilities need CAQH?
No. CAQH is not required for facility applications — it is mainly for individual providers.
8. Do you offer Medicare and Medicaid enrollment?
Yes. We manage the full Medicare and Medicaid enrollment process, including state-specific requirements.
9. Are you HIPAA compliant?
Yes. CredSolutions LLC follows 100% HIPAA-compliant processes to protect provider information.
10. How do I get started?
Simply contact us via phone, email, or website. We’ll send you a checklist and guide you step-by-step through the credentialing process.
📞 (507) 218-2184
✉️ info@credsolutionsllc.com
🌐 www.credsolutionsllc.com
