Credentialing, done.
We credential your practice, providers or pharmacy with Medicare, Medicaid and commercial plans. You answer once. We handle the forms, the follow-up and the phone calls.
We don't charge you until we submit your application. Starting at $119 per enrollment and as low as $89 at volume. Never a cut of your reimbursements.
per enrollment to start, and as low as $89 at volume.
you answer one questionnaire. We fill in every application.
to every payer, logged on your dashboard until they decide.
one price per payer. Never a percentage of what you get reimbursed.
- Not charged until we submit
- Every follow-up call
- Medicare, Medicaid, commercial
Illustration, not real applications or payers. Tap the orbit to send one.
Ask a PharmD: Whiteboard Wednesday with Hai Thai
Every Wednesday at 3 pm ET, Hai Thai, PharmD, RxHealing's full-time Chief Clinical Officer, runs a live clinic for pharmacy owners and pharmacists. Bring your clinical questions, plus anything about credentialing, remote care, surplus drug sales and insurance protection. Up to an hour, and it ends early if the questions run out.
Pharmacy or practice? Start in the right place.
Pharmacies and practices enroll differently. Pick yours and we'll show only the payers and questions that apply to you.
Credential my pharmacy
Enroll your pharmacy location so you can bill the medical side of plans for vaccines, test-and-treat, diabetes education and other clinical services.
- Medicare Part B, pharmacy or mass immunizer
- State Medicaid
- CAQH profiles for your pharmacists, and commercial plans
Credential my practice or providers
Enroll your group and each provider, whether you're opening a practice, adding a new provider, or joining new plans.
- Medicare group and individual enrollment
- State Medicaid
- CAQH profiles and commercial plans for every provider
Medicare is just the start.
Most of your patients aren't on original Medicare. Every plan they carry pays you for vaccines, testing and clinical services only after it credentials your pharmacy. Here's who pays for what.
Medicare Part B
Flu, pneumonia, hepatitis B and COVID shots for Medicare patients are paid by Part B, not Part D, so they never go through your PBM.
Medicare Advantage plans
Shots and covered services for Medicare Advantage members are billed to each plan, like Humana, UnitedHealthcare or Aetna. Each plan credentials your pharmacy on its own.
State Medicaid
Adult vaccines for Medicaid patients, and in a growing list of states, pharmacist services like test-and-treat and medication management. Maryland, Missouri, Virginia, Wisconsin and Wyoming are among the latest to pay pharmacists.
Medicaid managed care plans
In most states, most Medicaid patients are in a managed care plan, and each one credentials your pharmacy separately. Miss one and you can't bill for those patients at all.
Commercial health plans
Blue Cross, Anthem, UnitedHealthcare, Aetna, Cigna and others pay for medical-side vaccines and, where your state allows it, strep, flu and COVID test-and-treat and other pharmacist services.
Your pharmacists, too
Many plans pay clinical services under the pharmacist who provides them. We set up each pharmacist's NPI and CAQH profile so their services can be billed.
Medicare figures are 2026 national rates for vaccine administration; actual payment varies by location. Medicaid range is pharmacist vaccine administration fees across states (from a 2024 national study of 2022 Medicaid rates). Coverage of pharmacist services depends on state law and each plan.
You answer once. We do the rest.
Most of every payer's application asks the same questions. So we ask once, for your organization and every provider, and fill in every application for you.
Pick your payers
Choose the plans you want to bill. We show the ones available in your state.
Answer once
One short questionnaire, started from your NPI record. Upload your documents a single time.
We check everything
Nothing is submitted with a missing document, expired license, or mismatched detail. You fix it before a payer ever sees it.
We submit and follow up
Our team files each application and makes every follow-up call. You watch each payer turn green.
Not charged until we submitFrom paperwork to approved.
Scroll to watch a four-provider practice go from one questionnaire to six payer approvals.
One questionnaire fills in all six applications.
Example only, not actual dataBuilt so nothing gets stuck.
Most credentialing delays come from a missing page, a typo, or an application nobody followed up on. GotCreds is built around those three.
Every application is checked against the payer's requirements and your NPI record. Submission stays locked until it's complete.
Each follow-up and each payer request shows up on your dashboard, so you never have to ask where things stand.
Provider licenses, DEA registrations, malpractice and CAQH attestations live in one place, with reminders before anything expires.
One price per payer. Never a percentage of what you get reimbursed.
Every payer your patients carry.
Group and individual enrollment for practices and clinics, and medical-benefit enrollment for pharmacies. Add a new provider any time.
Medicare
Group enrollment, each provider's individual enrollment, and reassignment to your group. Part B enrollment for pharmacies.
- Practices, clinics and individual providers
- Pharmacies, including mass immunizer
State Medicaid
Enroll your organization and providers with your state's Medicaid program.
- Group and individual provider enrollment
- Revalidation when it comes due
Commercial plans
Set up each provider's CAQH profile and apply to the plans your patients carry.
- CAQH ProView profiles and attestations
- Blue Cross Blue Shield, Anthem, UnitedHealthcare, Humana, Aetna, Cigna and more
One flat price per enrollment.
An enrollment is one provider with one payer, or one pharmacy location with one payer. The more you enroll in one order, the less each costs. Everything from the application to the final approval is included, however many follow-up calls it takes.
GotCreds enrollment
- Not charged until we submit
- Application preparation and submission
- Every follow-up call until the payer decides
- Document vault and expiration reminders
- Free resubmission if we make an error
- Add new providers any time
Stay Credentialed
We track every license, DEA, malpractice and CAQH date, handle re-attestation and revalidation, and run monthly exclusion checks, so you stay enrolled and paid.
- Billing starts only when your first payer approves you
- Cancel anytime
About government fees: some payers charge their own enrollment fee, like Medicare's $750 federal fee in 2026. You pay those directly to the payer at submission. They're never marked up, and they're shown separately so you always know what's ours and what's theirs.
Good questions, straight answers.
How long does credentialing take?
It depends on the payer. Medicare usually takes 60 to 90 days, commercial plans 60 to 120, and some state Medicaid programs up to 180. Payers set the timeline. What we control is that your application goes in complete and nothing sits without a follow-up.
What do I need to get started?
Your organization's NPI and tax ID, basic details about owners, and each provider's NPI, license and CV. The questionnaire pulls what it can from your NPI record and tells you exactly which documents to upload for the payers you pick.
When am I charged?
Only when we submit each application. At checkout you save a card, but you pay nothing that day. When an application is ready and you've approved our access with that payer, we charge for that application and submit it. If an application is never submitted, you're never charged for it.
How do you get access to submit for us?
The way payers intend: you never share passwords. For Medicare, we send a connection request through CMS's Identity & Access system and your Authorized Official approves it. For CAQH and Medicaid, you approve our access or invite our team. After checkout, your dashboard walks you through each step.
What counts as an enrollment?
One provider with one payer. A practice with 3 providers joining 4 plans has 12 enrollments, because each provider needs their own application with each plan. A pharmacy counts as one provider, so a pharmacy joining 3 plans has 3 enrollments. The more enrollments in one order, the lower the price for each.
We're adding a new provider. Can you credential just them?
Yes. Add the provider to your account, pick the payers, and we credential them with each one. You pay only for the new provider's enrollments.
Who actually submits the applications?
Our credentialing team. You sign one authorization, and we prepare, submit and follow up with each payer on your behalf.
Is my information secure?
Yes. Social Security and bank account numbers are encrypted the moment you enter them, and even you can't view them again afterward. Only our credentialing team can use them, and only to fill in your applications.
What types of providers do you credential?
Physicians, nurse practitioners, physician assistants, behavioral health providers, therapists, chiropractors and other licensed providers, plus group practices, clinics and pharmacies.
Do you credential FQHCs, rural health clinics or surgery centers?
Yes. Federally Qualified Health Centers, Rural Health Clinics and ambulatory surgery centers enroll with Medicare differently from other practices, so we set them up directly. Email us and we'll walk you through it.
Does my pharmacy need more than Medicare?
Usually, yes. Medicare Part B only pays for your original Medicare patients. Medicare Advantage plans, your state Medicaid program, each Medicaid managed care plan and commercial plans each credential your pharmacy separately before they pay for vaccines, testing or pharmacist services. Most pharmacies start with Medicare Part B and their two or three biggest plans, then add more.
Is credentialing different for pharmacies?
Yes. Pharmacies enroll the pharmacy location itself, and Medicare charges pharmacies a federal enrollment fee. Practices enroll the group plus each provider, with no federal Medicare fee. When you start, pick pharmacy or practice and we show only what applies to you.
What if a payer turns us down?
If an application is rejected because of our mistake, we fix it and resubmit for free. If a plan isn't accepting your provider type in your area, we refund that enrollment.
Ready to get paid by every plan?
Answer once. We handle the forms, the follow-up and the phone calls.
We don't charge you until we submit your application. Questions? support@gotcreds.com