Insurance Credentialing for Group Practices
Group practices face a different set of credentialing challenges than solo providers. New clinicians need to be paneled quickly, group NPI enrollment adds another layer of complexity, and payer timelines do not slow down just because your practice is growing. TheraProfessional manages credentialing for group practices of all sizes, from a two-clinician startup to an established multi-site practice.
What Group Practice Credentialing Involves
Group practice credentialing typically includes enrolling the practice entity under a group NPI, credentialing individual clinicians with each payer, linking individual providers to the group contract, and managing ongoing re-credentialing as your roster grows. Each payer handles group enrollment differently, and some require separate applications for the group and each rendering provider.
Who We Work With
Group practices hiring associate therapists or licensed clinicians
Practice owners expanding from solo to group
Multi-site practices onboarding new providers across locations
Group practices adding psychiatric or PMHNP providers
Practices converting from out-of-pocket to insurance-based billing
What We Handle
Group NPI enrollment with commercial payers
Individual provider credentialing linked to your group contract
CAQH setup and maintenance for each clinician
Payer portal setup and ongoing access management
Follow-up and status tracking across all active applications
Re-credentialing for existing providers as deadlines arise
Frequently Asked Questions
How is group practice credentialing different from solo credentialing? Solo credentialing panels one provider under their individual NPI. Group credentialing adds a layer by enrolling the practice entity under a group NPI and then linking each rendering provider to that group contract. Some payers require separate applications for each, and not all payers credential group practices the same way. We manage both tracks simultaneously to avoid gaps in billing.
How long does it take to get a new clinician credentialed under our group? Most individual provider applications take 60 to 120 days depending on the payer. We recommend starting the process as soon as a clinician accepts an offer. We can also advise on interim billing options while credentialing is pending.
Can you credential multiple providers at the same time? Yes. We manage concurrent applications across multiple providers and payers. Group practices with frequent hiring cycles benefit from having a credentialing partner who tracks all open applications in one place.
Do we need a group NPI before we start? Yes. The group NPI is required before most payers will process a group enrollment application. If you do not have one yet, we can walk you through the process of obtaining it before we begin.
What does group practice credentialing cost? Group NPI enrollment is priced at $125 per payer. Individual provider credentialing within the group is priced at $275 to $450 per payer depending on the payer and provider type. We provide a full quote after a free consultation so you know exactly what to expect before committing.