How CredEdge by ClinicMind Helps You Navigate the Process with Confidence
Becoming credentialed with insurance payers is a vital step in building a successful chiropractic practice. Below are the most common questions chiropractors have, along with how CredEdge can help make the process smoother, faster, and less stressful.
- Once a chiropractor is credentialed, how long does that credentialing with their payer remain valid?
Credentialing is typically valid for 2 to 3 years, depending on the payer. After that, recredentialing is required to maintain your in-network status. CredEdge tracks your renewal timelines and sends proactive alerts to ensure you never miss a recredentialing deadline.
- How long does the credentialing process typically take?
Credentialing can take anywhere from 60, 120 to 180 days, depending on the payer. While some applications move quickly, delays often arise from paperwork errors or payer backlogs. CredEdge reduces these delays by ensuring all paperwork is complete, accurate, and submitted promptly.
Need help selecting the best credentialing partner? Learn more Comprehensive Guide to Choosing a Chiropractic Credentialing Service.
- What’s the difference between credentialing and contracting?
Credentialing verifies your qualifications, such as licenses, education, and malpractice history. Contracting is the legal agreement that allows you to join a payer’s network and receive in-network reimbursement. CredEdge manages both processes simultaneously, helping you get credentialed and contracted without unnecessary delays.
- What documents do I need to submit during the credentialing process?
Most payers require:
- State license
- Malpractice insurance
- CAQH profile
- DEA certificate (if applicable)
- Resume or CV
- Practice location details
CredEdge helps you gather, validate, and securely store all necessary documents for easy submission.
Click here to read why medical staff bylaws are essential for chiropractors during the credentialing process.
- Do I need to be credentialed with each payer at every location I work from?
Yes. Most payers require separate credentialing for each location, even if you’re under the same tax ID. CredEdge simplifies multi-location credentialing by managing submissions and renewals for all sites under one dashboard.
- What happens if I miss a recredentialing deadline?
Missing a recredentialing deadline can cause your in-network status to lapse, resulting in denied claims and delayed payments. Reapplying can take months. CredEdge prevents lapses with automated reminders and step-by-step support through the recredentialing process.
Ready to make credentialing stress-free?
Let CredEdge by ClinicMind handle the paperwork, deadlines, and payer communications—so you can focus on your patients.
Learn more about how CredEdge simplifies credentialing and protects your revenue:
Schedule a Free Credentialing Consultation
