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Average payer enrollment approval times

Average payer enrollment approval times

Some payers (i.e., Medicare, Medicaid, Blue Cross, Blue Shield) require providers to enroll before the provider can submit electronic claims and receive electronic payment reports from them. Processing time for these enrollments vary by payer and can take anywhere from 2 weeks to over 2 months.

The table below contains estimates (in weeks) for how long you can expect to wait for an enrollment to be approved. Although the data is based on actual enrollments, we cannot guarantee that your enrollment will be approved in the same amount of time because it's up to the payers to approve enrollments.

Note: Until an enrollment has been accepted, we recommend that you continue to submit paper claims. Until your payment report enrollment has been accepted, we recommend that you continue to manually record your insurance payments. (This guide explains how to manually add an insurance payment.)

Tips to expedite the process

If you hear from the payer, let us know

Some payers will notify you, the provider, that an enrollment has been accepted, but they won't notify the clearinghouse. If you receive confirmation from a payer that your enrollment has been approved, please do the following:

  1. If you get an email, get a screenshot of the email and share it with our support team.
  2. If you receive a letter, take a photo of the entire letter and share it with our support team.
  3. Submit a help request with the proof of acceptance.

We'll reach out to our clearinghouse to quickly process your enrollments from there.

Call the payer

You can also call the payer to check on the status of your enrollment. If the payer confirms that your enrollment has been accepted, please do the following:

  1. Ask for the representative’s name and a call reference number.
  2. Submit a help request with this information.

We'll reach out to our clearinghouse to quickly process your enrollments from there.

Additional resources:


Enrollment estimates table 
Last updated: May 28, 2021

Note: An asterisk (*) indicates that this payer is known for taking longer than average to approve enrollments. We recommend calling the payer if your enrollment has not been accepted after 60 days.

--- indicates that we do not have an exact estimate. However, this payer does require enrollment. 

Payer ID Payer Name Claim Filing enrollment (weeks) Payment Report enrollment (weeks)

Additional resources:

 

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