Frequently Asked Questions
Can you help me enroll in just one plan?
Yes. We have individual pricing available for providers or practices.
Can you help me obtain a group NPI?
Yes. We can help you apply and obtain a group NPI for your new or established practice.
Can you help me with hospital privileges?
Yes. We can complete your application and follow-up with your hospital to ensure that your privileges are granted in a timely manner.
Can you help with my CAQH application?
Yes. If you do not have a CAQH ID we can help you obtain one in the credentialing process. We will complete this application for you and ensure that it is correct and submitted correctly to your insurance plans.
Can you suggest plans to enroll?
Yes. Please contact us today for a personalized quote and we will work with you to identify the best plans for your practice in your area.
How often do I need to be Recredentialed?
It is important to maintain all of your credential information as it changes. In addition, you should re-attest your CAQH application every 60-90 days. Insurance companies will typically re-credential providers every 36 months.
I am relocating how can SLJ Credentialing Solutions help me?
We can help you apply for your license, DEA, CDS, etc in your new state of practice. In addition we can help you enroll in the proper insurance plans for your new practice.
I am a new practice how can SLJ Credentialing Solutions help me?
We can contract and credential your practice and providers. In addition we can suggest plans available in your area and help you with new practice start-up options.
I am a new provider who just completed my residency/fellowship how can SLJ Credentialing Solutions help me?
We can help you apply for your license, DEA, CDS, etc in your new state of practice. In addition we can help you enroll in the proper insurance plans for your new practice.
I am a small practice how can SLJ Credentialing Solutions help me?
We can credential and contract your providers as well as maintain your credentialing information. Special attention is needed throughout the credentialing and contracting process and most small practices don’t have a dedicated credentialing employee to manage these issues.
What is Credentialing?
Credentialing is the verification of a provider’s information to ensure that they meet the criteria outlined in the company’s procedure to become an in network provider. Typically this includes primary source verification of the following; License, DEA, CDS, Medical Education, Training Verification, Malpractice History, etc)
Insurance Credentialing
To become an in-network provider with an insurance carrier, providers must first complete the credentialing process. Each carrier may have different criteria and processes.
Facility Credentialing
To have privileges at a facility (hospital, nursing home, dialysis center, etc) providers must complete the credentialing process of each facility and be approved by their credentialing committee.
What paperwork do you need from me to get started?
Please contact us today to request a personalized quote and we will be happy to send you all of the paperwork to begin working with your practice today. This includes our 3 page provider information form as well as attachments needed. (Attachments may include copies of your license, dea, malpractice insurance, diplomas, etc.)
How long is the credentialing process?
The credentialing process generally takes between 90-180 days. When you sign up for credentialing with us, we waste no time getting your applications completed and submitted to insurance companies. Then, we follow up regularly with insurance companies to make sure that your credentialing applications are processed and approved as soon as possible.
Can I start seeing patients before my credentialing is done?
No, providers cannot start seeing patients until Approval letter containing effective date and provider id is received from the Insurance Company.
Credentialing covering All 50 States:
(Al) Alabama (AK) Alaska (AZ) Arizona(AR) Arkansas (CA) California(CO) Colorado(CT) Connecticut(DE) Delaware(FL) Florida(GA) Georgia(HI) Hawaii(ID) Idaho(IL) Illinois(IN) Indiana(IA) Iowa(KS) Kansas(KY) Kentucky(LA) Lousiana(ME) Maine(MD) Maryland(MA) Massachusetts(MI) Michigan(MN) Minnesota(MS) Mississippi(MO) Missouri(MT) Montana(NE) Nebraska(NV) Nevada(NH) New Hampshire(NJ) New Jersey(NM) New Mexico(NY) New York(NC) North Carolina(ND) North Dakota(OH) Ohio(OK) Oklahoma(OR) Oregon(PE) Pennsylvania(RI) Rhode Island(SC) South Carolina(SD) South Dakota(TN) Tennessee(TX) Texas(UT) Utah(VT) Vermont(VA) Virginia(WA) Washington(WV) West Virginia(WI) Wisconsin(WY) Wyoming