Credentialing Timeline Template

Typical Credentialing Timeline by Payer

PayerAverage TimelineKey Requirements
Medicare60-90 daysPECOS enrollment, NPI
Medicaid45-90 daysState-specific application
Blue Cross Blue Shield60-120 daysCAQH, attestation
Aetna60-90 daysCAQH, provider agreement
Cigna45-90 daysCAQH, network need
UnitedHealthcare60-120 daysCAQH, credentialing app

Pre-Credentialing Checklist

DocumentStatus
Medical License (current)[ ]
DEA Certificate[ ]
Malpractice Insurance[ ]
Board Certification[ ]
NPI Number[ ]
CAQH Profile Complete[ ]
CV/Resume[ ]
Work History (5 years)[ ]