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The general timeframe for healthcare providers to complete credentialing is between 90 to 120 days. However, this is an average estimate. Some payors may complete the process quicker, while others might take longer, especially for certain specialties.
Step 1 Processing Time (Varies by Submission Method): Paper: Approximately 65 days. Web: Approximately 30 days. A certified providers CMS-855 application is required to go through a multistep review process. Medicare Administrative Contractors (MACs) are responsible for the initial review of the application.
Medicare-certified means offering services at a level of quality approved by Medicare. Medicare will not pay for services received from a health care provider that is not Medicare-certified.
Because each insurance plans credentialing team has different structures, systems, and processes, the credentialing timeline varies depending on the insurance plan. After you submit an application on your own, you can expect to wait 90 to 120 days before your credential is awarded.
Go to the CMS website. You can find all the resources needed to obtain your CMS Certification Number at this link: .
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People also ask

CMS-855B: For group (all applicable sections). CMS-855I: For reassigning individuals who are new to the Medicare program, or not PECOS enrolled (sections 1, 2, 3, 4B, 13, and 15). CMS-855I: For employed physician assistants (sections 1, 2, 3, 13, and 15) CMS-855R: Individuals reassigning (entire application).

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