Typically, our 1099 contractors can expect to be credentialed with most insurances within your first month. Note that there are sometimes delays in credentialing due to insurance company backlogs that we can’t control.
You can opt out of being in network with any of our insurance network partners at any time. Unless you opt out, we will submit credentialing applications on your behalf to the following carriers/plans based upon the states in which you’re licensed. With the exception of Anthem BCBS and BCBS of MA, you must also reside in the insurance coverage state to be credentialed with Blue plans.
| Aetna |
| Allied Benefit Systems – Aetna |
| Christian Brothers Services – Aetna |
| Health Scope – Aetna |
| Meritain |
| Nippon |
| Trustmark Health Benefits – Aetna |
| Trustmark Small Business Benefits – Aetna |
| EAP: Aetna Resources for Living EAP |
Blue Cross | Blue Shield |
| Anthem Blue Cross California |
| Anthem Blue Cross Blue Shield California |
| Anthem Blue Cross Blue Shield Colorado |
| Anthem Blue Cross Blue Shield Connecticut |
| Anthem Blue Cross Blue Shield Indiana |
| Anthem Blue Cross Blue Shield Kentucky |
| Anthem Blue Cross Blue Shield Maine |
| Anthem Blue Cross Blue Shield Missouri |
| Anthem Blue Cross Blue Shield New Hampshire |
| Anthem Blue Cross Blue Shield Nevada |
| Anthem Blue Cross Blue Shield New York |
| Anthem Blue Cross Blue Shield Ohio |
| Anthem Blue Cross Blue Shield Virginia |
| Anthem Blue Cross Blue Shield Wisconsin |
| Blue Cross Blue Shield of Massachusetts |
| Blue Shield of California |
| EAP: Anthem EAP – Bank of America |
Carelon Behavioral Health |
| Carelon Behavioral Health Inc. |
| Providence Health Plan |
| Wellpoint |
Cigna |
| Allegiance |
| Daniel H. Cook Administrators |
| Paragon Benefits |
| Professional Benefit Administrators |
| S&S Healthcare Strategies |
| Southwest Service Administrators |
| Tall Tree Administrators |
| Trustmark |
| Trustmark Health Benefits – Cigna |
| Wellfleet Group, LLC |
| EAP: Confide Enhanced EAP |
Kaiser Plans |
| Kaiser Permanente of Northern CA |
| Kaiser Permanente of Northern CA Medicare Advantage |
Optum Plans |
| AllSavers UHC |
| Health Plans Inc. |
| Oscar |
| Oxford Health Plans |
| Surest (Formerly Bind) |
| UHC Student Resources |
| UMR |
| United Healthcare Medicare Advantage |
| United Healthcare Shared Services |
| UnitedHealthcare |
| UnitedHealthcare Global |
| EAP: Optum Emotional Wellbeing Solution (Premium EAP) |
| EAP: Optum Live & Work Well (EAP) |
Bear in mind that being able to accept clients after being credentialed is not always the same as when you can begin seeing clients – we’re talking Kaiser (SoCal) here. For example, Kaiser (SoCal) typically has a delay of at least 2 weeks after credentialing to give you access to their Lucet system training. Once you receive and complete the training, you must submit an affidavit verifying completion and then await their granting of access to the Lucet system to enter your availability for intakes.
Also be aware that being credentialed and able to start seeing client is not always the same as when the insurance will start paying you – payment delays are typical with the Blues and Kaiser (NorCal) where we’ve sometimes seen as much as a 2 month difference between date credentialed and date payments can first be expected to be received. For example, if credentialing completes 8/30/2024, you can start seeing clients with that insurance as of 8/30/2024. But, let’s say that insurance isn’t scheduled to pay until 10/29/2024, – then you’ll receive payment for sessions for those clients that were billed from 8/30/2024 – 10/15/2024 on your 11/8/2024 direct deposit.
All communication about credentialing status and payment dates will be available to you in your billing portals so that you can make the best financial decisions for your practice based upon your goals.
Though it is rare, insurance rates may increase, or more rarely, decrease. You will be notified in writing via email of any upcoming rate changes as we become aware of them. Always, it is our goal to serve you in ways that set you up for financial success!