Credentialing

Credentialing application status

We are now processing credentialing applications submitted on or before September 27, 2024. Completion of the credentialing process takes 30-60 days. We will notify you once your application has been approved or if additional information is needed. View your credentialing status in Payer Spaces on Availity Essentials.

Type of service	In person	In person	Virtual/telehealth	Virtual/telehealth	Virtual/telehealth
Place of service	Services are delivered inside our service area (clinic)	Services are delivered inside our service area (clinic)	Services are delivered inside our service area (home or clinic)	Services are delivered inside our service area (clinic)	Services are delivered outside our service area (home or clinic)
State licensure	Inside our service area	Inside our service area	Inside our service area and within the state telehealth services are provided in	Inside our service area and within the state telehealth services are provided in	Inside our service area and within the state telehealth services are provided in
Member location	Inside our service area	Inside our service area	Inside our service area	Inside our service area	Inside our service area
Credentialing and contracting eligibility	Eligible	Eligible	Eligible	Eligible	Not eligible