What is CAQH and why do I need it?

CAQH ProView is a centralized credentialing database used by most major commercial payers. Setting up and maintaining your CAQH profile is typically the first step in payer enrollment. We set up your CAQH profile and re-attest quarterly to keep it current.

Can I bill while credentialing is pending?

Yes, in limited circumstances. Locum tenens billing under a credentialed provider is common. For Medicare, provisional billing may be available. We advise on your specific situation and set up bridge billing arrangements to minimize revenue gaps.

207V00000XOB/GYN Taxonomy

OB/GYN Credentialing That Gets You In-Network Fast

Q: How long does OB/GYN credentialing take?

Standard OB/GYN credentialing takes 60–120 days depending on the payer. Medicare typically takes 30–60 days. Commercial payers like BCBS and Aetna can take 90–120 days. Our team submits applications within 48 hours and actively follows up weekly.

Q: What is taxonomy code 207V00000X?

207V00000X is the National Uniform Claim Committee (NUCC) taxonomy code for OB/GYN physicians. It must appear correctly on all claims and payer enrollment applications. Using a general medicine taxonomy code (208D00000X) is a common error that causes enrollment delays and claim denials.

We submit applications within 48 hours, follow up weekly, and keep your credentials current — so your practice never loses a dollar to expired credentials or missed payer relationships.

Start Credentialing Today →Revenue Calculator

HIPAA CompliantBAA AvailableAAPC CPC-OBAHIMAMGMAHIMSS

48 hrs

Application Submission

13+

Payers Covered

< 60 days

Medicare Enrollment

200+

Providers Credentialed

Complete Credentialing Services

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CAQH Profile Setup & Maintenance

Complete CAQH ProView profile setup, documentation collection, and quarterly re-attestation to keep your profile current.

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Commercial Payer Applications

Applications to all major commercial payers: BCBS, Aetna, UHC, Cigna, Humana, Tricare, and all regional plans in your state.

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Medicare & Medicaid Enrollment

Medicare Part B enrollment via PECOS. Medicaid enrollment in your state. NPI registration and NPPES updates.

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Primary Source Verification

Verification of medical school, residency, board certification, state licensure, malpractice history, and DEA registration.

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Hospital Privileges

Application for clinical privileges at affiliated hospitals and surgical centers. Coordination with medical staff offices.

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Re-Credentialing & Expiration Tracking

Proactive re-credentialing management. Automated expiration alerts for DEA, state license, board certification, and payer credentials.

207V00000X

OB/GYN Specialty Taxonomy Code

This taxonomy code must appear correctly on every CAQH profile, payer application, and claim form Box 33b. Using a general medicine or incorrect taxonomy code delays enrollment and causes claim denials. We verify taxonomy accuracy on every application we submit.

Payers We Handle

MedicareMedicaid (all states)Blue Cross Blue ShieldAetnaUnitedHealthcareCignaHumanaTricareAnthemMolinaCenteneWellCareAll regional commercial payers

Typical Credentialing Timeline

Week 1

Intake & CAQH

→Physician intake form
→CAQH profile setup
→Document collection checklist
→NPI verification

Weeks 2–3

Applications Submitted

→Medicare PECOS application
→Medicaid application
→Top 5 commercial payers
→Hospital privileges (if needed)

Weeks 4–8

Active Follow-Up

→Weekly status calls with payers
→Additional document requests handled
→Application tracking dashboard
→Credentialing committee prep

Weeks 8–16

Approval & Activation

→Payer approval confirmation
→Effective date tracking
→Provider portal access setup
→First claim submission test

Common Credentialing Pitfalls — Solved

✗Revenue gap during credentialing (60–120 days)

✓Bridge billing arrangements and locum tenens setup to maintain cash flow during enrollment

✗Delayed enrollment from CAQH errors

✓Complete CAQH audit before submitting any payer applications to catch discrepancies

✗Expired DEA/license causing claim denials

✓Automated expiration tracking with 90/60/30-day alerts and proactive renewal workflow

✗Wrong taxonomy code (207V00000X)

✓Taxonomy code verification on all applications and existing claims to catch past errors

✗New practice setup — no payer relationships

✓Simultaneous submission to all priority payers with fee schedule negotiation support

Credentialing — FAQ

How long does OB/GYN credentialing take?+

Medicare typically takes 30–60 days via PECOS. Commercial payers (BCBS, Aetna, UHC, Cigna) take 90–120 days. State Medicaid averages 60–90 days. We submit all applications simultaneously within 48 hours of receiving complete documentation, and follow up weekly.

What is CAQH and why does every OB/GYN need it?+

CAQH ProView is the centralized credentialing database that most commercial payers use as the starting point for enrollment. Without an up-to-date CAQH profile, your payer applications will be delayed or rejected. We build and maintain your CAQH profile, including quarterly re-attestation.

Can I bill during the credentialing period?+

Yes — we set up bridge billing arrangements to minimize revenue gaps. Options include locum tenens billing under a credentialed provider, provisional Medicare billing when available, and retroactive billing arrangements for the enrollment period that some payers allow.

What is taxonomy code 207V00000X?+

207V00000X is the OB/GYN specialty taxonomy code from the NUCC code set. It must appear on your CAQH profile, payer applications, and claim form Box 33b. Using a general or incorrect taxonomy code is one of the most common OB/GYN enrollment errors — it delays credentialing and causes claim denials.

“

We opened a new OB/GYN practice and were fully credentialed with 8 payers within 90 days. OBGYNBillingPro handled everything — we didn't miss a single revenue day.

Dr. Priya K.

Solo OB/GYN — California

New Practice Setup →Revenue Cycle Management →Revenue Calculator →

Ready to Get In-Network Fast?

Start your credentialing today. We submit within 48 hours and follow up until you're approved.

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