Setting Expectations: Insurance credentialing is an extensive process. Most payers take 60–120 days to approve applications. TMHP (Texas Medicaid) can take 90–180 days. We submit all 8 payer applications simultaneously to minimize total wait time, but patience is essential. We provide bi-weekly status updates through your client portal so you always know where things stand.
1
Day 1

Free Consultation & Plan Selection

We review your license type, practice goals, patient population, and business structure. We recommend the right plan and answer all your questions — no obligation, no pressure.

2
Days 1–7

Intake Form & Document Collection

You complete our secure online intake form (PDF) with your practice details, license information, malpractice coverage, education history, and work experience. This form provides everything we need to build your CAQH profile and submit payer applications. We guide you through every field — you're never alone in this process.

📥 Download Intake Form 📤 Upload Completed Form
3
Days 7–14

CAQH, NPI & Application Filing

We create your CAQH ProView profile, register your NPI (if needed), and submit applications to all 8 insurance payers simultaneously. For groups, we also set up your Group NPI (Type 2), PECOS enrollment, and CMS-855R reassignments.

4
Weeks 2–20+

Payer Processing & Follow-Up

This is the longest phase — and where most providers fail when doing it alone. Payers process at their own pace, and applications can stall without persistent follow-up. We contact each payer bi-weekly, resolve issues immediately, and update your client portal with the latest status. Be patient during this phase — it's normal for it to take several months.

5
As Panels Approve

Availity Setup, EHR Config & Claims Training

As each payer approves, we set up your Availity account, configure UHC/Optum portal access, and set up insurance billing in SimplePractice. We train you on claims submission — or we submit them for you. The most important part of your work (getting paid) is fully supported from day one. You start seeing insured patients as soon as each panel goes live.

6
Month 6+

Transition to Growth & Operations

Once all panels are active, you transition to our Growth & Operations plan (starting at $149/mo for solo). We continue managing CAQH, re-credentialing, claims submission, compliance monitoring, and everything that keeps your revenue flowing. This isn't just "maintenance" — it's the operational backbone of your growing practice.

Credentialing vs. Paneling: What's the Difference?

These terms get used interchangeably, but they're actually two different steps in the process.

STEP 1 Credentialing

The insurance company verifies your education, licensure, malpractice, work history, and NPI through CAQH. This is a background check and compliance verification.

WhatVerification of your professional credentials
Timeline30–90 days per payer
RequiredCAQH, NPI, license, malpractice, DEA (if applicable)

STEP 2 Paneling (Contracting)

After credentialing, the payer offers you a contract with a fee schedule. Once you sign, you're "in-network" and can see their members and bill directly.

WhatSigning a contract with the payer
Timeline15–60 days after credentialing approval
ResultYou're in-network, can bill, and see insured patients

Ready to Launch Your Practice?

Book a free consultation and let us handle the credentialing, billing, and admin — so you can focus on your patients.