Credentialing & Enrollment Services

Our partnered credentialing specialists have extensive experience navigating insurance panels, CAQH, NPIs, and payer requirements. Each team member is committed to being attentive, and proactive — ensuring each application is completed correctly and when applicable a prevision of biweekly updates are provided. With ABAcademy, you'll always know where you stand during your credentialing process, and you'll have a partner who makes the process as smooth as possible.

Step 1

Initial (FREE) Consultation Review your goals, insurers, and needs.

Step 2

Submit required materials (license, resume, W-9, etc.) within 14 days of request.

Step 3

Payments & Applications

After receiving payments, applications are submitted. That's it, we don’t take a cut when you bill insurance like other credentialing services.

Step 4

Follow-Ups

We'll follow up with you with updates regarding your process.

Services & Pricing

CAQH + NPI Setup (bundle) – $50
Why it matters:

Your NPI (National Provider Identifier) is required for every insurance claim.
Your CAQH profile is the database most insurers use to credential you.
If either is set up incorrectly, your applications can be suspended for months.

Estimated Timeline: 1–2 weeks (once documents are provided).

Insurance Credentialing – $165 per payer / $140 each (3+ payers)
Why it matters:

Credentialing connects you to insurance networks so you can bill and get paid.
Without it, you cannot accept insured clients.

Estimated Timeline: 60–120 days (varies by payer; Medicaid often longer).
Special Note: Medicaid & Magellan remain $165 due to additional requirements.

Authorizations – $55 each
Why it matters:

Even after credentialing, you need authorizations for each client before sessions can begin.
Without them, services provided may be denied for payment.

Estimated Timeline: 1–2 weeks after credentialing approval.

Single Case Agreements (SCA) – $125
Why it matters:

SCAs allow you to serve clients out-of-network when no providers are available in-network.
You can negotiate higher or specialized rates, expanding your client base.

Estimated Timeline: 2–6 weeks (approval depends on payer and medical necessity).

EFT Setup – $50
Why it matters:

Ensures insurance payments go directly to your bank account, instead of mailed checks.
Reduces payment delays and lost checks.

Estimated Timeline: 1–2 weeks (payer-dependent).

ERA/EOD Add-On – $25
Why it matters:

Provides an itemized breakdown of claims, payments, and denials.
Essential for identifying and correcting billing errors quickly.

Estimated Timeline: 1–2 weeks, usually paired with EFT setup.

Deadlines & Expectations

Pre-Application Documentation must be provided within 14 days of request.
Missing deadlines may result in canceled applications and re-submission fees.
Two-week follow-ups are included on all applications at no cost.
Our specialist works diligently to keep applications moving — but timelines also depend on insurance company responsiveness.

Initial consultation is required before purchasing a credentialing service item to ensure that your specific situation is understood. This step allows us to tailor our services to meet your unique needs effectively.

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