Free Network Build Assessment
Take it freeCredentialing is the rate-limiting step in every network build. Providers cannot see members until they are credentialed, and credentialing cannot start until a contract is signed. These guides cover the workflows, timelines, delegation models, and NCQA compliance requirements that determine whether your credentialing pipeline keeps pace with your contracting pipeline.
Health plans that treat the 90-day credentialing timeline as a guideline rather than a hard constraint consistently miss CMS network adequacy filing deadlines. This guide explains what drives the timeline, where it gets extended, and how to build a credentialing schedule that actually works.
Delegated credentialing agreements can dramatically compress your credentialing timeline during a network build — but only if structured correctly. Here's how to use delegation without creating compliance exposure.
The credentialing committee is the final gate between a signed contract and a provider appearing in your network. Here's how high-performing health plan credentialing committees are structured, how often they meet, and what documentation they need to function properly.
Every provider on your active roster carries a credentialing expiration date. When that date passes without recredentialing, the provider must come off the roster — which can trigger adequacy gaps that CMS never approved. Here's how to build a system that keeps every credential current.