Payer Enrollment & Credentialing Guides
Get in-network with the payers that matter most to your practice. Find enrollment timelines, required documentation, and credentialing checklists for every major commercial, government, and regional health plan.
Commercial
Private insurers covering employer-sponsored and individual market plans. Largest enrollment volume.
Government
Medicare, Medicaid, Tricare, and VA programs. Required for serving federal beneficiaries.
Regional
Local and regional plans with significant market share in specific states or service areas.
Commercial Payers
The largest commercial insurance carriers covering the majority of privately insured Americans.
Aetna
CVS Health
Enrollment guide for Aetna provider network including individual, group, and Medicare Advantage plans.
Cigna
The Cigna Group
Cigna credentialing requirements, CAQH submission, and behavioral health panel enrollment.
UnitedHealthcare
UnitedHealth Group
UHC in-network enrollment for commercial, Medicare Advantage, and Community Plan products.
Blue Cross Blue Shield
BCBS Association
BCBS credentialing by state plan — BlueCard and local plan enrollment requirements.
Humana
Humana Inc.
Humana provider enrollment for commercial, Medicare Advantage, and Medicaid managed care.
Anthem
Elevance Health
Anthem credentialing for commercial and managed Medicaid markets across 14 states.
Centene
Centene Corporation
Centene Medicaid managed care enrollment across all state health plans.
Molina Healthcare
Molina Healthcare, Inc.
Molina Medicaid and Marketplace credentialing requirements and timelines.
Government Payers
Federal and military health programs. Enrollment is required before billing; timelines vary by program.
Medicare
Centers for Medicare & Medicaid Services
Medicare enrollment via PECOS — Part B, Medicare Advantage, and DME supplier enrollment.
Medicaid
State-Administered / CMS
State-by-state Medicaid fee-for-service and managed care enrollment requirements.
Tricare
Defense Health Agency
Tricare network participation for active duty, veterans, and military family coverage.
VA / CHAMPVA
U.S. Department of Veterans Affairs
VA Community Care Network and CHAMPVA credentialing for veteran patient care.
Regional & Specialty Plans
Regional health plans and specialty networks that serve specific markets or patient populations.
Kaiser Permanente
Kaiser Foundation Health Plan
Kaiser credentialing for the integrated care model across California, Pacific NW, and Mid-Atlantic.
Oscar Health
Oscar Health, Inc.
Oscar provider enrollment for ACA Marketplace and employer-sponsored plans.
Bright Health
Bright Health Group
Bright Health network credentialing for individual and Medicare Advantage markets.
Don't see your payer?
Arctic Health works with 300+ payer networks. If you need enrollment with a specific plan, our team can help.
Get in-network with the right payers, fast.
Arctic Health submits to payers within 2 days and actively tracks every application to completion. We handle the follow-up so you don't have to.