Provider tools
Credentialing, in one place per provider
Every document an insurer will ask for, every application you have sent, and the date each one expires — kept where the provider can see it.
This is your credentialing section.
Here you store all the paperwork you need for the whole revenue cycle, and for getting set up to work with insurance in the first place. License, DEA registration, malpractice certificate, CV, board certification, W-9, CAQH — each with the date it runs out and a note of where it is filed.
It is the provider's own file, so the provider can open it. That sounds obvious. It is not how most systems are arranged.
Eight steps, per provider, in order
Credentialing is not one task. It is eight, each with a different owner, a different form, and a wait measured in months. LogBlues keeps them in order and shows you which step each provider is on:
- NPI — the number everything else hangs on.
- CAQH profile — created, attested, and re-attested every 120 days.
- Documents gathered — and their expiry dates recorded.
- Payer applications — one per insurer, each with its own form.
- Primary source verification — the insurer checking your license and history.
- Committee review — the part nobody can hurry.
- Contract and fee schedule — signed, and read before signing.
- Effective date — the day you may finally bill that payer.
Miss the re-attestation and a payer can quietly stop paying. An expired certificate can undo months of waiting. The dates are the work, so the dates are what the screen shows.
Why it decides whether you get paid
A claim is refused for a provider who is not credentialed with that payer. Not reduced — refused, after the care has been given. Practices discover this weeks later, when the remittance arrives and the work has already been done for nothing.
Insurers do not make any of this easy, and they are not required to. What a small practice can do is keep the paperwork current and know exactly where every application is sitting. That is the entire job, and it is the job this page is for.
From small practice to large
One provider or twenty, the eight steps are the same and the expiry dates are the same. A solo provider uses it as a filing cabinet that remembers dates. A larger group uses it to see, on one screen, which of their providers can bill which payer today.
The guide, free and without a sign-up
The long version lives on this site: how to get credentialed with insurers and get paid — every step in order, what each one costs, how long it really takes, and the application page and provider phone number for each major payer, checked against their own websites. No sign-up, no email, not gated behind a demo.
Read that first if you are deciding whether to bill insurance at all. Come back here for where it lives inside the software.
Where this sits
Credentialing is in Provider Tools, in Settings, alongside the link to that guide. It is one part of LogBlues, the local-first practice workspace. The full picture is on the features page, claims themselves are on insurance and claims, and the product page shows it running.