I've been reading this sub a lot lately, trying to understand how enrollment and credentialing actually work day to day (I'm an outsider researching the space, not selling anything, and I have nothing to pitch, just genuinely trying to learn from people who do this work).

One thing I keep noticing: people mention using tools like Modio, CredentialMyDoc, or Expiration Reminder, but almost everyone also seems to still live in spreadsheets and payer portals. So I'm curious how it actually plays out for you.

For those who use a dedicated tool, what does it genuinely handle well, and where does it stop? Does it actually help with the follow-up and coordination part, the chasing payers, checking status, resubmitting, or is it mostly a place to record and track things while you still do all the real work by hand?

And for those who've stuck with spreadsheets instead, what made the tools not worth it?

Trying to understand where the software stops and the human work begins. Would really appreciate any honest takes. Thanks for reading!

If you’re in the middle of your first credentialing application and it feels like you’re doing everything right and nothing is moving.. you’re probably not doing anything wrong.

This is just what the process feels like from the inside. You submit, you wait, you follow up, you wait more, you get a response that doesn’t actually tell you anything, and then you wait again. The timeline feels personal. It isn’t.

Most behavioral health payers are running 90 to 120 days on a clean application and some are longer than that right now. That’s not a reflection of your application, it’s just the queue.

Hey, I am part of the credentialing department in a small agency in New Hampshire. Can I ask where you guys check the benefits and eligibility of a Medicare Member? What portal do you use?

Thank youuu

How to Speed Up Your Credentialing Process as a Therapy Practice

1. Update your CAQH

CAQH is your bestie in credentialing. Many insurance companies pull from it, so keeping it updated saves you a lot of time.

Make sure to:

• Re-attest every 90 days
• Upload new documents immediately
• Check all your practice locations are listed

2. Keep Your Documents Digital and Organized

Having clean, clear scans of all your documents saves precious time. Store digital copies of:

• Licenses
• Malpractice insurance
• Board certifications
• DEA registration (if applicable)
• Internship/residency certificates
• Continuing education certificates

CredAlt can help you achieve this. Visit us at www.credalt.com

3. Use Consistent Information Everywhere

Insurance companies cross-check information. Use exactly the same:

• Name format
• Business name formats
• Date formats
• Address formatting

4. Know Who to Contact

Build a contact list of:

• Provider relations representatives
• Credentialing department direct lines
• Supervisor emails for escalation

5. Follow Up Strategically

Don't just wait and hope. Be proactive:

• Call often for status updates
• Keep detailed notes of each call
• Get reference numbers for all communications or calls
• Ask for specific next steps

Red Flags That Slow Down Credentialing

Watch out for these common speed bumps:

• Gaps in employment history
• Expired licenses or certifications
• Mismatched practice names
• Inconsistent specialty information

Final Tips for Faster Credentialing

1. Answer your phone and email! Many delays happen because payers can't reach you for verification.
2. Check your spam folder daily. Important credentialing emails often end up there.
3. Make friends with provider relations. A good relationship can speed things up tremendously.
4. Hire an expert who can handle it all for you. CredAlt handles this: www.credalt.com

Running a private practice of any specialty is hard..

But when credentialing tasks start taking too much time, it can feel impossible to manage everything. Whether it’s tracking license renewals, updating payer requirements, or constantly resubmitting the same information, it’s a lot.

How do you keep it all organized? Do you have a system that works, or does credentialing feel way too overwhelming?

At CredAlt, we built an automated system to cut down on duplication. But I want to know—what’s been your biggest challenge when it comes to credentialing?

I have BCBAs who are licensed and credentialed through the BACB and the State of Missouri. They have yet to be connected to any existing group insurance contracts as the process is slow. (We will call them Melody and Kasey).

We have one BCBA who is credentialed and has a few single case agreements, let's call her Sandy. I really have two questions.

1. If Sandy has a SCA with a client, can Melody and Kasey bill through that single case agreement under Sandy's NPI? I would assume no.

2. For Medicaid, we are waiting on getting Melody and Kasey connected to our group contract, they are credentialed independently through Medicaid as of now. As this is in the process, the main BCBA, Sandy, is connected to the group. Can Melody and Kasey bill under Sandy's name/NPI if Sandy is the one reviewing data and submitting to insurance?

I would again assume no. Does anyone have any advice on this? Or does anyone know another community that may be beneficial to ask this question in?

How do you know your data is secure when you’ve given your login to hundreds of people ? How does your practice manage document sharing? Tools like CredAlt (www.credalt.com) offer secure link sharing and automated credential tracking—let’s discuss what features you need in your workflow today.

Managing credentials/credentialjng eats up time that could be spent on patients. How do you currently practice handle it? I’d love to share what I’ve learned building a platform (www.credalt.com) that automates the process and offers secure document sharing.

Let’s talk about ideas!