Elite Medical Suites

Insights

Credentialing and Insurance: What New Practice Owners Should Know

Credentialing can make or break your launch timeline. Here's what new practice owners need to know to start getting paid faster.

Credentialing — the process of getting approved to bill insurance — is one of the most underestimated parts of starting a practice. Start early, because it often takes 90 to 120 days or more.

Where to Start

  • Get your NPI (National Provider Identifier) if you don't already have one
  • Complete and keep your CAQH profile current — most payers pull from it
  • Make a target list of the insurance plans your patients use most

Common Pitfalls to Avoid

  • Starting too late — credentialing delays can push back your launch
  • Inconsistent practice address or details across applications
  • Letting your CAQH attestation lapse, which stalls enrollment

A stable, professional practice address helps keep your applications consistent. Whatever space you choose, confirm it supports your licensing and payer requirements before you enroll.