This is a question we hear every day (if not several times a day) at Thriveworks about insurance panels. The answer can get complicated, as the rules change by insurance company, and by state. However, in most instances, healthcare providers who are fully licensed (not intern-level or intermediate-level license) can get credentialed with most insurance panels… but there are some exceptions! UBH and United Healthcare like their providers to be practicing for a minimum 2 years post licensure, and Value Options requires 3 year of post-license practice. On a positive note, in most states Blue Cross, Blue Shield, Aetna, Cigna, Humana, and many others have no post-licensure waiting period. In the video below, Dr. Anthony Centore and Whitney Bade talk about the issue.
Need help getting on insurance panels? You can speak with a credentialing team about any questions or concerns you have about the credentialing process. If you don’t want (or don’t have time) to deal with the credentialing process, let a credentialing team do it for you. That’s right, they’ll put in the work to get you on those insurance panels.
If you’re looking for medical billing or credentialing help, consider our friends at East Meadow Management Group. They’re available to offer a timely quote, or help you find a solution. You can reach them at 516-277-8291 or by filling out this quick and easy form here.
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Anthony Centore
I think it’s important to be clear that when you say “licensed”, you mean “independently licensed” to practice without supervision. So, it is unlikely that insurance panels will accept a therapist in training. So, if you are considering starting a private practice before you are independently licensed, you should not assume that you will be accepted to most of the major insurance panels.