50 steps from NPI to in-network effective date, plus CAQH prep pack, payer application templates, and enrollment tracking. Built from 340+ successful credentialing projects.
| Payer | Typical Turnaround | CAQH Required | Retro Effective Date? |
|---|---|---|---|
| Aetna | 60-90 days | Yes | Usually, request in cover letter |
| UnitedHealthcare | 90-120 days | Yes | Sometimes, varies by state/line |
| BCBS (by state) | 60-150 days | Yes | Varies by Blue plan |
| Cigna | 60-90 days | Yes | Rarely, app date usually wins |
| Humana | 45-90 days | Yes | Yes, up to app received date |
| Medicare (CMS-855I) | 60-90 days (PECOS) | No | Yes, up to 30 days retro |
| Medicaid (state-specific) | 30-120 days | Varies | Varies by state |
You'll receive the PDF + editable tracking spreadsheet within 5 minutes.
Every day a provider is not credentialed with a payer is a day that payer's patients must be billed as out-of-network, or worse, written off entirely. For an average-volume primary care provider, the opportunity cost of a 90-day credentialing delay is roughly $45,000 in collectible revenue. For specialists, it's significantly more.
The checklist eliminates the three most common delays: incomplete CAQH data (caught by our pre-submission QA), missing supporting documents at the time of payer application (caught by our document matrix), and failure to follow up at the 30/60/90-day marks (tracked in our provided spreadsheet).
Need credentialing handled for you? Revenue Synergy's in-house credentialing team averages 45-day enrollment with a 98% first-submission acceptance rate. Talk to our credentialing team.