ABA Insurance Credentialing: The Complete Provider Guide
Credentialing delays cost ABA clinics thousands in lost revenue every month. This guide walks you through the entire process — and how to speed it up.
What Is ABA Insurance Credentialing?
Credentialing is the process by which insurance payers verify that your clinic and your providers meet their standards to deliver covered services. Until credentialing is complete, you cannot bill that payer for services.
The ABA Credentialing Timeline
- Medicaid (state-specific): 60–180 days
- Major commercial payers (BCBS, Aetna, Cigna, UHC): 60–120 days
- Regional commercial payers: 45–90 days
- Managed care organizations (MCOs): 90–150 days
The critical implication: Start the credentialing process 3–6 months before you plan to begin billing.
The Most Common Credentialing Delays
Delay 1: Incomplete Applications — Missing documents are the number one cause of credentialing delays.
Delay 2: Expired CAQH Attestation — CAQH profiles must be re-attested every 120 days.
Delay 3: Malpractice Insurance Gaps — Payers require continuous malpractice coverage.
Delay 4: NPI Issues — Verify your NPI record in the NPPES database before submitting any application.
Ready to Accelerate Your Credentialing?
ABAGrowth Partners has helped ABA clinics credential with 4 new payers in as few as 58 days.
Call 469-645-8853 or visit our contact page to discuss your credentialing needs.
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