FAQ (Frequently Asked Questions)

Essentially, it is how you become eligible to accept insurance.

Being in network minimizes costs for your patients. Your practice may also benefit from carrier referrals.

We explain the process here.

It depends on your needs and goals. Call us for an in-depth answer! We’ll help you pick the best companies for your practice.

Our credentialing service fee is basically a retainer. There are many factors to consider here, including the degree of difficulty involved for your state and provider type, and the carriers you’ve selected.

We stay current and educated on the specific credentialing needs for your alternative or behavioral health care specialty in each state. We have personal contacts in many insurance companies nationally, and can contact them for up-to-the-minute status updates. Because the landscape of the insurance industry is constantly changing, we stay informed on the latest developments through our relationships with billers (including our sister company Acubiller).

Companies that service larger areas are the most popular. The major companies include Blue Cross, Blue Shield, Aetna, Cigna, United Healthcare, Humana, Coventry, Highmark, Health Net of California, Kaiser, and others.

We work with almost all major insurance companies, but there are a few exceptions. Our team works hard to get our clients credentialed as fast and accurately as we can, but not all insurance companies allow us to meet these goals. Because of this, after many years of frustration and unpredictable service quality, we are no longer offering any credentialing services for Aetna. This was a difficult decision, but ultimately we are confident that this choice will allow us to put our time and energy to better use for all our clients. (Please note: This change will not affect our clients who are already in process; we will continue to do follow up services for providers who applied before this change took effect.)

Credentialing and data management for Aetna has become so challenging over the years that it thwarts our daily efficiency measures. We’ve found that the time we spend on Aetna does not adequately resolve the issues we’ve had with them. As such, we’ve discontinued our credentialing efforts with Aetna to focus our energies where they will have the greatest impact and be most beneficial to our clients. (Please note: This change will not affect our clients who are already in process; we will continue to do follow up services for providers who applied before this change took effect.)

For providers who would like to credential with Aetna on their own, we are happy to provide basic information. Just ask us!

In most states, workers’ comp does not require credentialing.

Credentialing is more of an art than a science. In the best case scenario, processing can take 90-120 days. After collecting your information, we submit your applications and follow up regularly with our contacts to make sure your application is processing smoothly and clear any problems that may occur.

Each company you choose to credential with takes us about 10 hours.

No. Eligibility for panels involves many factors, including (but not limited to) your location and areas of practice. When a panel is closed, we can add you to the waiting list.

We provide regular updates.

Our sister company Acubiller provides full-service billing for credentialed acupuncturists who qualify. Contact Eliza for more information!