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Credentialing timeline tracker
How long credentialing and payer enrollment actually take, payer by payer. Ranges reflect what our team sees on clean, complete submissions — not best-case marketing numbers.
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Typical days to complete, by payer
| Payer / step | Category | Typical days | What drives the range |
|---|---|---|---|
| Aetna | Commercial | 60–120 | CAQH-driven. Roster adds are faster than net-new group contracts. |
| Cigna | Commercial | 60–120 | Contract and credentialing run on separate tracks; both must close. |
| UnitedHealthcare | Commercial | 60–150 | Onboarding portal submissions; behavioral routes through Optum. |
| Humana | Commercial | 60–120 | Commercial and Medicare Advantage often filed together. |
| BCBS (most plans) | Commercial | 60–180 | Varies widely by state plan; some require in-state entity first. |
| Anthem / Elevance | Commercial | 90–180 | Committee cycles can add a month even after files are complete. |
| Oscar / Ambetter / regional plans | Commercial | 45–120 | Often faster, but network status may be closed by geography. |
| Medicare Part B (PECOS 855I) | Medicare | 45–90 | Retro effective dates commonly available up to 30 days. |
| Medicare group / 855B + 855R | Medicare | 60–120 | Reassignments must match the group enrollment exactly. |
| Medicare revalidation | Medicare | 30–90 | Miss the deadline and billing privileges deactivate. |
| State Medicaid (fee-for-service) | Medicaid | 60–120 | Medi-Cal (CA) runs longer, commonly 90–180 days. |
| Medicaid MCO roster load | Medicaid | 30–90 | Cannot start until the state Medicaid ID is issued. |
| Optum Behavioral | Behavioral | 60–120 | Separate intake from UHC medical credentialing. |
| Magellan | Behavioral | 60–120 | Network may be closed; closed-panel strategy often required. |
| Carelon Behavioral | Behavioral | 60–120 | ABA and autism programs have separate documentation. |
| Evernorth (Cigna Behavioral) | Behavioral | 60–120 | BCBA supervision documentation reviewed closely. |
| Tricare (regional contractors) | Government | 60–120 | ACD program requirements for ABA are strict. |
| CAQH ProView setup | Commercial | 3–14 | Prerequisite for most commercial filings. Re-attest every 120 days. |
| NPI (type 1 / type 2) | Government | 1–10 | Fast, but errors here cascade into every downstream application. |
Ranges are operational estimates from Credify Health's own filing experience and are not guarantees. Actual timelines depend on payer backlog, network status, and completeness of the submission.
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