A new group enrollment will need to go through both the contracting and credentialing parts of the enrollment process. As highlighted above, contracting is the process that consists of executing an agreement with the health plan at the organizational level, and credentialing is where the health plan will credential each provider that is requesting to join their network to that organization.

For any groups that are already contracted and enrolled with a health plan, adding a provider to an existing group does not require them to go through the contracting portion of enrollment. Since a contract already exists on the group entity level, the provider will just need to be credentialed with the health plan. Certify will work to submit any individual provider applications, if applicable, and will ensure the plan provider's CAQH profile is updated and attested to.