Free Credentialing for SLP, PT, and OT · Up to 3 Payers per Clinician

Grow your payer mix.
Skip the paperwork.

Get up to 3 free payer enrollments per clinician, handled by your dedicated specialist team and included with Fusion Advanced and Premier. Skip the 10 to 15 hours of paperwork per payer.

Every enrollment starts with a demo. Bring your payer list, and we’ll show you how Fusion works and how your first enrollments get filed.

For new Fusion customers. Your enrollments activate with an Advanced or Premier plan. *Offer terms below.
A female therapist sits on the floor with a little girl as they play a game of catch back and forth with a soft ball. The therapist is using the game and forms of play to aid in her therapy session.

What makes Ensora Credentialing different

Most SLP, PT, and OT practices spend 10 to 15 hours of paperwork per payer application, or pay $200 – $400+ for a third party to handle it. With Fusion, credentialing is included along with your other core EHR features at no extra cost, and a specialist team prepares and submits your applications.

More payers, more clients

Getting in-network can open your practice to clients who search for a clinician through their insurance plan. That can mean a fuller caseload, more accessible care, and steadier revenue.

Always know where you stand

Track every enrollment from application to approval without chasing anyone for updates. The specialist team prepares and submits your applications; your practice sees what’s submitted, what’s pending, and when billing can start.

Skip the paperwork

Getting on one panel yourself means gathering your documents, filling out the payer’s application, and following up until someone reviews it. Your specialist team handles the applications and follow-up, across up to 3 payers per clinician. You provide your documents; they prepare, submit, and follow up with each payer.

How it works

Pick your plan
Pick the payers that fit
We handle the process
Start billing in-network
Choose an Advanced or Premier plan

Credentialing support activates when the practice is on an annual Fusion Advanced or Premier plan. That’s what connects you with your enrollment specialists and sets your included enrollment count, up to three payers per clinician on Premier, two on Advanced.

You choose payers and prepare your information

Select the payers that fit your practice and client population, then pull together what payers ask for: your practice details, your license, proof of malpractice, coverage, and a complete, up-to-date DataSpring (CAQH) profile (the online profile most payers use to check your credentials). You’ll also start contracts directly with your chosen payers. Your specialists tell you exactly what’s needed and track what’s still outstanding.

Your specialists manage the applications

The enrollment team prepares and submits your payer applications, tracks their progress, and follows up with payers. If a payer needs more information, your team tells you what to provide and keeps the application moving.

You see more clients

Once a payer approves your enrollment and confirms your effective date, you can begin seeing eligible clients in-network. From there, more payers means more of your client mix can use insurance, opening new lines of revenue for the practice.

What to expect

Payers control the clock

Credentialing is not instant. Most payer enrollments take approximately 60 to 120 days end to end once your contract is in motion. The longest stretch is a follow-up with each payer’s credentialing committee, and Medicare and Medicaid queues can run longer in some states.

Why it’s worth waiting for

The 60 to 120 day timeline is the payer’s full review, and it runs across every payer you choose, from Medicare and Medicaid to commercial plans like Blue Cross Blue Shield, Aetna, and UnitedHealthcare. That’s what the wait buys; each clinician goes through each payer’s complete credentialing process, so what you have at the end is real, billable in-network status with your whole payer mix, not a partial panel or a shortcut that unravels later.

How to speed things up

The part of the timeline you control is the start date. The payer clock doesn’t start until your enrollment does, so a month of waiting moves your first in-network session a month further out. Start your contracts and send your documents early, and contracting and enrollment can move at the same time instead of one after the other.

Your team gets to work early

Your specialist team starts the moment you’re on a Fusion Advanced or Premier plan, checking in your documents and preparing applications while your payer contracts are underway. From kickoff to each payer’s decision, the team tracks every application, follows up, and keeps you posted, so nothing sits in a queue with no one watching.

Credentialing basics

What is credentialing in healthcare?
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Credentialing is how a clinician gets approved to bill an insurance payer. It’s the umbrella term for two steps: contracting, the agreement between the practice and the payer, which stays with the practice; and payer enrollment, the verification, application, and committee review that loads a clinician into the payer’s claims system. Fusion’s specialist team handles the enrollment side, so the practice can bill in-network.
Does Fusion handle physical therapy credentialing only, or SLP and OT, too?
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All three. Fusion’s credentialing service covers speech-language pathology, physical therapy, and occupational therapy clinicians alike, with up to three payer enrollments per clinician regardless of discipline.

How it works

What exactly do you handle, and what stays with me?
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Your part: pick your payers, start your payer contracts, provide documents like your license and proof of malpractice coverage, and complete your DataSpring (CAQH) profile. If you don’t have a profile yet, your specialists can help you set one up; keeping it attested over time stays with you. Their part: preparing and submitting each payer application, tracking what’s been received and what’s still outstanding, following up with each payer, resubmitting if something comes back denied, and telling you each payer’s decision. After a payer approves you, the team also helps you request EDI setup, the electronic connection that lets you submit claims, with a few steps that stay on your side.
How long does credentialing take?
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Typically 60 to 120 days end to end once the payer contract is in motion, according to Ensora Health enrollment process analysis. Most of that clock sits with the payer’s credentialing committee, and Medicare and Medicaid queues can run longer in some states. That’s why Fusion gives a realistic range instead of promising a date.

Plans & eligibility

I’m already a Fusion customer. Can I get this?
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Right now the offer is for new Fusion practices. If you’re an existing customer and want this, tell your account manager. Interest from current practices directly shapes what we open up next.
How much does credentialing cost?
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With Fusion, credentialing is included at no separate fee: Premier plans include up to three payer enrollments per clinician, and Advanced includes two. Third-party credentialing services typically charge per clinician, per payer instead. See Fusion pricing plans for plan details.
Do I have to change how my practice handles billing?
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Some rehab platforms only include credentialing if the practice outsources its billing to them. Fusion doesn’t tie the two together: credentialing is included whether the practice uses our integrated billing capabilities or adds Ensora RCM, so the billing setup a practice already has stays in place.
What’s the catch?
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Three things, and we’d rather you hear them from us. First, the offer is for new Fusion customers on Advanced or Premier plans. Second, enrollment covers up to three payers per clinician on Premier and two on Advanced. Third, payer contracting stays with you, because payers only contract directly with clinicians, and payers and DataSpring (CAQH) will ask you for a fair amount of information along the way. Your team tells you what’s needed and handles the applications and follow-up from there.
Is there a cap on how many clinicians in my practice can get free enrollments?
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Included enrollments are counted per clinician, not per practice: up to 3 each on annual Premier plans, up to 2 each on Advanced. A group of 10 clinicians on Premier gets up to 30 included enrollments
Ensora Health Credentialing Pilot — Terms and Disclosures

Eligibility. The credentialing pilot is available to new Fusion and TheraNest customers on an eligible paid Advanced or Premier plan, subject to Ensora Health’s determination of eligibility, capacity, and availability. Availability is limited, may be capped by volume, and may be closed, modified, paused, or withdrawn at any time without notice. Not available where prohibited or restricted by law, payer rule, or program requirement. Eligibility requires the account to remain in good standing and current on payment; if the subscription is cancelled, downgraded, suspended for non-payment, or terminated, in-progress credentialing work may be discontinued.

What “included at no additional charge” means. Credentialing support is a benefit of a paid subscription, not a free-standing or standalone service, and has no independent cash or credit value. There is no separate credentialing invoice for included enrollments. Enrollments requested beyond the included allowance, ongoing monitoring and maintenance, re-credentialing, revalidation, demographic or licensure updates, expedited handling, and re-work arising from information the practice supplied are not included and may be offered at additional cost at then-current rates.

Enrollment allowance. The allowance is per individual credentialed clinician (up to three payer enrollments on Premier; up to two on Advanced) and is not poolable, transferable, assignable, or redeemable for cash, credit, or other services. One enrollment means one application to one payer for one clinician; an application that must be resubmitted, corrected, or re-filed at the payer’s direction does not consume an additional allowance, but a new application to a different payer or plan does. Allowances not used during any time periods designated in the subscription terms will expire.

Service is performed by a third party. Credentialing and payer enrollment services are performed by an independent third-party credentialing provider. Ensora Health does not itself perform credentialing, primary source verification, or payer enrollment, does not act as the practice’s agent in dealings with any payer, and makes no representation or warranty regarding the third party’s services beyond what is expressly stated in the applicable subscription terms. Participation may require the practice to accept the third-party provider’s end-user terms.

Practice responsibilities. The practice and each clinician remain solely responsible for: initiating, negotiating, and executing all payer contracts (contracting is not included in this service); maintaining active, unrestricted licensure and required certifications, DEA registration where applicable, and malpractice coverage; creating, completing, and re-attesting a DataSpring/CAQH profile within required intervals; promptly disclosing any sanction, exclusion, adverse action, license lapse, or change in practice location, ownership, or demographics; and the accuracy, completeness, and timeliness of all information and documentation submitted. Delays, denials, revocations, or claim losses caused by incomplete, inaccurate, or untimely information, or by the practice’s failure to act on a notification, are the practice’s responsibility.

No guarantee of outcome or timeline. Payer enrollment is controlled by each payer, government program, and its contractors. Ensora Health and its credentialing provider do not control and do not guarantee: acceptance onto any panel, network participation, approval of any application, any particular effective date, retroactive effective dates, panel availability (payers may close panels or restructure networks), reimbursement rates, claim payment, or any timeline. Any timeframes referenced — including references to a 90- to 180-day payer review — are estimates based on general industry and payer-published information, vary materially by payer, program, state, and discipline, and are not commitments. Payers may re-verify, audit, or revoke enrollment after approval.

Effective date and billing. Do not schedule, render, or submit claims for in-network services to a payer before you have received written confirmation of the payer-approved effective date. Claim denials arising from services or claims submitted before that confirmation are the responsibility of the practice.

Claims, comparisons, and figures. Statements regarding hours spent on enrollment, third-party credentialing fees, per-session commission percentages charged by other platforms, panel ownership under other models, and similar comparisons are general estimates drawn from third-party sources and internal analysis as of the publication date; they describe general market conditions, not any specific competitor, contract, or customer, and individual circumstances vary. Nothing here is a representation of typical or guaranteed results.

Trademarks and payer references. Payer, program, and third-party names and marks are the property of their respective owners. Reference to a payer indicates only that enrollment support may be requested for that payer where the payer accepts applications and the clinician is eligible; it does not imply any affiliation with, endorsement by, sponsorship by, or contractual relationship with that payer or with Medicare, Medicaid, or any state program.

Subscription and trial terms. Free trials, subscriptions, and plan terms are governed by the Ensora Health Master Subscription Terms and Conditions and any Order Form executed by the practice. If anything in this or any other marketing material conflicts with those documents, those documents control.