In order to receive reimbursements from insurance carries, clinicians must be credentialed and have a provider number for each carrier.

Most carriers quote between 60-90 days to complete the credentialing process, but in NEARM’s experience the process can take as long as six months.

NEARM recommends new providers start the credentialing process well in advance of engaging in clinical activity.

And well-established clinicians must keep in mind that Medicare and MassHealth requires them to be re-credentialed every two years or face losing reimbursement payments.

NEARM’s Credentialing services provides:

  • Application completion for all insurance carriers.
  • Application submissions.
  • Diligent tracking of each application’s processing status.