Question 1

How long does it take to get credentialed as a therapist?

Accepted Answer

While the industry standard is 90-120 days, our aggressive follow-up process typically gets mental health providers paneled in 45-60 days depending on the specific commercial payer or Medicaid program.

Question 2

Can you credential my pre-licensed associates?

Accepted Answer

Absolutely. We manage the complex billing rules for pre-licensed associates (like LSWs or AMFTs) billing under a fully licensed clinical supervisor.

Question 3

Do you handle CAQH re-attestations?

Accepted Answer

Yes. We handle your initial CAQH ProView setup and take over your 120-day re-attestations so your profile never expires and your claims are never frozen.

Question 4

Do you handle Single Case Agreements (SCAs)?

Accepted Answer

Yes. If you are an out-of-network provider treating a patient whose insurance lacks specialized providers (like specific eating disorder or EMDR specialists), we can negotiate a Single Case Agreement so you get paid at in-network rates.

Question 5

Do you credential addiction treatment facilities (IOP/PHP)?

Accepted Answer

Yes. Beyond solo practitioners, we manage facility credentialing for Intensive Outpatient Programs (IOP), Partial Hospitalization Programs (PHP), and residential substance abuse facilities.

Question 6

Do I need an NPI Type 1 or NPI Type 2?

Accepted Answer

If you are a solo practitioner (Sole Proprietor), you only need an NPI Type 1. If you are incorporated as an LLC, PLLC, or S-Corp, you must obtain an NPI Type 2 (Group NPI) and link your Type 1 to it. We handle this entire setup for you.

Question 7

Can I opt-out of Medicare but still take commercial insurance?

Accepted Answer

Yes. Many mental health providers choose to officially "opt-out" of Medicare while still paneling with commercial payers like Aetna or Cigna. We can file the formal opt-out affidavits to keep you compliant.

Question 8

Do you handle credentialing for Psychological Testing (Psychometrists)?

Accepted Answer

Yes, we secure paneling for clinical psychologists and psychometrists, ensuring that complex testing codes and prolonged service modifiers are properly contracted with payers.

EXP Regional Service Areas & State Credentialing Locations

Regional Service Areas

Houston, TX

Dallas, TX

Los Angeles, CA

Miami, FL

New York City, NY

Boston, MA

Chicago, IL

Atlanta, GA

Phoenix, AZ

Philadelphia, PA