What Is Payer Enrollment? A Simple Guide for New Providers
December 6, 2025
9:57 AM
Payer enrollment is the process that allows a provider to bill insurance companies for their
services. It is separate from credentialing but strongly connected to it.
What Is Payer Enrollment?
Once approved, the provider becomes eligible to receive payments for covered services
Types of Enrollment
- You cannot bill insurance without being credentialed
- It affects patient scheduling and referral flow
- It influences payer network participation
- It protects your practice from compliance risks
Typical Processing Times
- Medicare: 45 to 90 days
- Medicaid: 30 to 120 days
- Commercial/Private payers: 60 to 180 days
Common Reasons for Delays
- Incorrect data
- CAQH not updated
- Missing documents
- Address inconsistencies
How Cred2RCM Supports Providers
We complete applications, perform bi-weekly follow-ups, resolve errors, and keep your enrollment progress moving smoothly.
Ready to Move Faster?
Let us streamline your credentialing & boost your revenue.