Credentialing

Application status

We are now processing credentialing applications submitted on or before August 16, 2022. 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

Inside our service area

Inside our service area

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