What is ABA insurance credentialing?
ABA insurance credentialing is the process of getting a practice and its clinicians approved as in-network providers with insurance payers so that services can be billed and reimbursed.
Before a practice can bill an insurer in-network, the payer must verify and approve it. Credentialing (and the related enrollment step) covers the group practice as well as individual clinicians such as BCBAs, and, where applicable, RBTs.
The process involves preparing applications, verifying licenses and qualifications, and following each application through submission, tracking, and follow-up until the payer approves it. It can take weeks to months depending on the payer.
Getting credentialed correctly and early is what lets a new or growing practice start seeing insured clients and getting paid, which is why many providers use a credentialing service to manage it end to end.