STAT Medcare has been in the business for over 14 years. We specialize in the provision of physician credentialing services.

1. How long does credentialing take?
"How long will it take to get me credentialed?" is the most often requested question. The
true answer is that there is no way to know. We do follow a set of established criteria
that tell us it might take 90-120 days. However, depending on your specialty, certain
payors will process your claim significantly faster than others. We'll look at what
happens during the credentialing process in more detail below. Knowing these facts will
help you appreciate why medical insurance credentialing may be a time-consuming
procedure and why it is best conducted by professionals in medical and physician
credentialing services.
How to Get the Application
Submitting a payor enrollment application can be a daunting undertaking. Depending on
your profession, it might be difficult to tell which application is the correct one to fill out.
When you receive the application, it might be anything from 3 to 300 pages long. Some
applications are much longer than that. A letter of interest to the plan is frequently
required only to receive an application. When they get your letter of interest, they check
your Tax ID number and NPI against their database to see whether you are eligible to
join their network. This choice is influenced by how many other providers they have
registered in the same geographical region and specialty as you. If you are fortunate
enough to obtain an application, the difficult part begins here.
Application Completion

2. To complete an application, you must have all of your medical insurance credentials,
degrees, CMEs, insurance, and employment history in one place so that you can swiftly
assemble the answers to each question on the application. The application will request
information such as every job you've ever had and the dates you worked there, an
explanation for any gaps in your work history, copies of all medical licenses you
possess, and degrees and certifications. This only scratches the surface. The
application will inquire about your criminal background, malpractice history, and civil suit
history. It will next request details about your company's ownership. These inquiries
continue indefinitely. Any incorrect answers to these questions might bring you in front
of the medical board.
Application Submission
After submitting the application and providing all needed documentation, you must
actively follow up. Even if a payor says it would take 90-120 days to process your claim,
you should nonetheless follow up on a weekly basis. That way, if something is missing
from the application or if the payor requires clarification, you may supply it right away.
The worst thing you can do after submitting an application is sit and wait. Stay proactive
and on top of the process.
CAQH After you submit your application, the payor verifies all of the information on your
application to your CAQH profile. This implies that any differences will cause your
application to be delayed.
Licenses the payor will also inquire about the status of all of your licenses, from your
DEA to your medical license and everything in between. This involves searching a
database for any and all malpractice claims histories. They will also contact the medical
board to confirm that your license is valid and active, and that there are no outstanding
disciplinary measures.
Contracting
Hooray! You've been notified that your medical insurance credentialing is complete.
STOP RIGHT NOW! Start visiting patients and filing claims as soon as possible.
Contracting comes after physician credentialing. This implies that the payor must
draught a contract, have you sign it, and assign you a fee schedule. Once signed, the
contract must be uploaded to their claims adjudication programme. This might take
many weeks at times. Never start seeing patients or filing claims until you have received
notification of your effective date, an executed contract, and confirmation that your
contract has been posted to their system.
The world of medical credentialing and contracting may be frightening. It might take up
more time than you anticipated. Mistakes can cause delays, and certain errors will
completely destroy your programme. Quality credentialing and contracting are critical to
your income. The best approach is to leave these delicate things to medical insurance
credentialing specialists.