Free Credentialing Tools

Quick answers for providers and practices. When you want it done for you, get a quote.

Medicare Enrollment Status Check
Enter an NPI to see its registry record, whether it appears in Medicare enrollment data, its group reassignments and any opt-out.
Exclusion Check
Search the federal OIG exclusion list by NPI or name before you hire, credential or bill for a provider.
Taxonomy Code Finder
Find the NPI taxonomy code for a license or provider type, and the codes most often picked by mistake.
Medicare Effective Date Calculator
Enter your filing date and first date of service to see your Medicare effective date and the earliest date you can bill.
Credentialing Timeline Estimator
See published credentialing timeframes for your state and payer type, from state law and payer sources.
Medicaid Managed Care Plan Finder
Pick a state to see its Medicaid managed care plans, ranked by enrollment.
Timely Filing Limits
How long you have to submit a claim, for the programs whose limits are set in federal rules or the payer's own published notice.
Which Medicare Form Do I Need
Answer a few questions to see which CMS enrollment forms apply to you.
Individual or Group Enrollment
Answer a few questions to see whether you need a group NPI and enrollment, or can bill under your own.
CAQH Re-Attestation Reminder
Enter your last CAQH (DataSpring) attestation date to see when the next one is due, and get an email a week before.
Closed Panel Appeal Letter
Fill in a few details to get a short letter asking a plan to reconsider a closed network.