Credentialing by payer

How to Get Credentialed with Each Payer

Every plan follows the same three steps, request, credentialing and contract, but each has its own portal and its own habits. Pick a payer for the specifics. Each application is $200 per provider, handled to approval.

• Aetna national commercial
• Cigna Healthcare national commercial
• UnitedHealthcare national commercial
• Humana Medicare Advantage focused
• Anthem Blue Cross and Blue Shield Blue plan in 14 states
• Florida Blue Blue plan, Florida
• Blue Cross and Blue Shield of Texas Blue plan, Texas
• Blue Cross and Blue Shield of Illinois Blue plan, Illinois
• Horizon Blue Cross Blue Shield of New Jersey Blue plan, New Jersey
• Independence Blue Cross Blue plan, southeastern Pennsylvania
• Highmark Blue Cross Blue Shield Blue plan, PA, DE, WV and NY
• CareFirst BlueCross BlueShield Blue plan, Maryland, DC and northern Virginia
• Blue Cross Blue Shield of Michigan Blue plan, Michigan
• Blue Cross Blue Shield of Massachusetts Blue plan, Massachusetts
• Blue Shield of California Blue plan, California
• Blue Cross and Blue Shield of North Carolina Blue plan, North Carolina
• Premera Blue Cross Blue plan, Washington and Alaska
• Regence BlueShield Blue plan, select counties of Washington
• Excellus BlueCross BlueShield Blue plan, upstate New York
• Capital Blue Cross Blue plan, central Pennsylvania and the Lehigh Valley
• Kaiser Permanente integrated HMO
• Oscar Health exchange and Medicare Advantage
• Molina Healthcare Medicaid and Marketplace
• Ambetter and Centene plans Marketplace and Medicaid
• Optum Behavioral Health behavioral health network
• Magellan Health behavioral health network
• TRICARE (Humana Military and TriWest) military health plan
• Medicare Advantage plans Part C