Free guides. Every rule links to its source.
Credentialing guides
Plain answers to the questions practices ask most about enrollment and credentialing, with each rule taken from the payer's or the government's own page.
- Virginia payer enrollment guide: Medicare, Virginia Medicaid and the commercial plans, in order.
- Virginia Medicaid enrollment: DMAS PRSS enrollment and the five Cardinal Care plans.
- How long credentialing takes in Virginia: Each payer's own published estimate, and Virginia's 60-day rule.
- CAQH re-attestation: Every 120 days, and why a plan may not see your profile.
- Medicare revalidation: Due dates, notices, and what happens if you miss one.
- Adding a new clinician: Medicare reassignment and each insurer's own process.
- Medicare effective date: When billing starts, and the 30-day look-back.
- Type 1 vs Type 2 NPI: Which NPI you need, and choosing a taxonomy code.
- Credentialing readiness checklist: What to have ready before you apply (interactive).
Want us to handle it?
We file it, follow up, and report every Friday.
We prepare and file each application within 5 business days of a complete packet, follow up with each payer, and send you a written status report every Friday. Nobody can promise an approval or a date; the payer decides both.
This page is general information, not legal advice. Rules and payer processes change; always follow the payer's or agency's current instructions. Payer, agency and product names belong to their owners and are used only to describe what each step involves.