It's almost never the credential itself. It's the paperwork around it — and credentialing staff catch it in step five of a six-step review. CredRight is the checklist that makes sure you never miss it.
Steps one through four are database work you can't influence. Step five is where applications actually die: staff lay your disclosures next to what the databases returned. Any gap between the two stops the file.
Stale attestation or one unanswered question.
A reportable action with no written explanation.
An unresolved OIG, SAM, or state Medicaid match.
Expired, not yet effective, or under the minimum.
Unverifiable source or a future completion date.
An 8-page printable reference: the rule hierarchy, the 12 baseline requirements, all 33 practitioner types plus a flexible "Other" option, special scenarios, and the six-step review — in plain language.
Provider, payer, and date fields. Mark items N/A or Done. Edit any row to match your payer's exact wording, or add your own for payer-specific requirements.
The same working checklist in your browser — no install. Fill it out per submission, print or save as PDF for your records, then clear it for the next payer.
Preparing a first payer enrollment and want to know exactly what's coming.
Who's done this before but doesn't want to rely on memory this time.
Filing on behalf of a provider, across multiple payers and practitioner types.
Printable 8-page PDF, the editable XLSX tracker, and the web app. 2026 edition. Instant download — yours to keep.
An 8-page PDF guide, an editable XLSX spreadsheet, and access to the CredRight web app — all covering the same 12 baseline requirements, 33 practitioner types (plus a flexible "Other" option), and 6 special scenarios.
No. CredRight is an educational reference reflecting common industry practice. It does not replace the specific instructions of the payer, health plan, or facility you're applying to — always follow their governing requirements.
33 types are mapped directly, from MD/DO and NP/APRN through psychologists, LCSWs, BCBAs, and peer support roles — each with its own license, education, and DEA/CDS snapshot. Don't see your exact role? The "Other" entry covers you too, since the 12 baseline requirements apply regardless of type.
Yes — save a copy per payer, or clear the provider/payer/date fields and status columns to start fresh. Every row is editable, and you can add rows for payer-specific requirements.
No — the web app version works in any browser, no software or install required. The XLSX is there if you prefer to work in a spreadsheet.
Questions about a specific practitioner type, a payer edge case, or the guide itself? Send us a note.