How long does provider credentialing typically take?

Most payer enrollments take 60–180 days depending on the payer and the completeness of the application. Medicare and Medicaid enrollments have their own timelines. We work to minimize delays through accurate, complete applications and proactive follow-up.

Can providers bill patients while credentialing is pending?

Providers may be able to see patients as out-of-network while enrollment is pending, but in-network billing is not permitted until enrollment is approved. We advise on the options available during the pending period.

What is CAQH and why does it matter?

CAQH ProView is a centralized credentialing database used by most commercial payers. Keeping your CAQH profile complete and attested is required by most payers before enrollment can be processed.

Do you handle Medicare and Medicaid enrollment?

Yes. We handle Medicare (PECOS) and Medicaid enrollment in addition to commercial payer credentialing. Government enrollments have specific requirements and timelines we manage carefully.

Can you help a provider who was previously disenrolled by a payer?

Yes. We assess the reason for disenrollment and work through the appropriate reinstatement or re-enrollment process with the payer.

Our Services

Credentialing & Enrollment

Get your providers credentialed with the right payers — faster, with fewer delays, and without the administrative burden.

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Overview

Provider credentialing and payer enrollment are prerequisites for getting paid — but they are also among the most time-consuming and error-prone administrative tasks in healthcare. A missing document, incorrect NPI, or delayed CAQH profile update can push your enrollment back weeks or months, preventing you from billing certain payers entirely. At 2 Lee's Billing, we manage the entire credentialing and enrollment process from application to approval. We handle CAQH profile setup and maintenance, payer-specific enrollment applications, follow-up with credentialing committees, and re-credentialing tracking — so your providers are always in-network and billable with the payers your patients use.

Who This Is For

✓New providers joining a practice or starting a new practice
✓Practices adding new payers to their accepted insurance list
✓Groups with providers coming up for re-credentialing
✓Providers who have experienced enrollment delays or rejections
✓Practices that have lost revenue due to lapsed credentialing
✓Organizations that lack dedicated credentialing staff

Common Challenges Providers Face

Lengthy Enrollment Timelines

Payer enrollment can take 90–180 days. Applications with errors or missing information cause additional delays — sometimes restarting the clock entirely.

CAQH Profile Errors

An outdated or incomplete CAQH profile is one of the most common causes of credentialing delays. Providers often don't realize their profile needs attention until an enrollment stalls.

Revenue Gaps During Enrollment

Providers cannot bill in-network until enrollment is complete. Without proactive management, these gaps can stretch into months of out-of-network or unbillable services.

Re-Credentialing Deadlines

Most payers require re-credentialing every 2–3 years. Missing a re-credentialing deadline can result in temporary disenrollment and revenue disruption.

Multi-Payer Complexity

Each payer has its own enrollment forms, documentation requirements, and processing timelines. Managing multiple payers simultaneously without a tracking system is a major administrative burden.

State Licensing Coordination

Out-of-state practice or telehealth services may require additional state medical licenses that must be obtained before payer enrollment can begin.

How 2 Lee's Billing Helps

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CAQH Setup & Maintenance

We set up and maintain your CAQH ProView profile — keeping attestations current and documentation complete to prevent downstream enrollment delays.

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Payer Enrollment Applications

We complete and submit enrollment applications for all requested payers, gathering required documentation and tracking each application to approval.

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Application Follow-Up

We proactively follow up with payer credentialing departments to check status, provide additional documentation, and escalate stalled applications.

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Re-Credentialing Tracking

We maintain a re-credentialing calendar for all enrolled providers and initiate renewal applications in advance of expiration deadlines.

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New Provider Onboarding

For new hires or new practices, we initiate the enrollment process as early as possible to minimize the gap between start date and billable in-network status.

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