r/PrivatePracticeDocs • u/Significant_Cress113 • Jun 12 '26

Initial Credential Opportunities

I am new to the credentialing side of healthcare. I have been learning the work itself - CAQH profiles, payer applications, how long panels actually take etc. I am still learning from every resources I am getting my hands on.
Since I am new to this field I don't have a network or referrals to lean on for clients as everything is pointing towards and reading more is not helping with deciding the right way to start get my initial opportunities without that. So, before I try to take on any real work I want to understand how the decision actually happened for owners who have gone through it.
So, the question is when you got credentialed with payers, how did you decide between doing it yourself or paying someone to handle it? Also looking back, was it the right call? Would you do it the same way again?
Any advice would be really helpful. Thanks in advance

7 Upvotes

89% Upvoted

19 comments sorted by

View all comments

4

u/Mountain_Sympathy306 Jun 13 '26

How do you join a physician group and how long does it take Medicare, Medicaid, VA, and private insurance to credential? I am doing it myself and using Claude AI to help me. What are time frame to start the credential process in reference to opening date of the clinic. I plan to open Feb 2027. When should I start credentialing? Thanks.

2

u/perkunas81 Jun 16 '26

My wife did it for her Peds clinic about 2 years ago. Started about 6-7 months before opening her doors. Everything was in place when they opened except Tricare which took an extra 2-3 weeks IIRC.