{"id":7359,"date":"2026-09-23T15:45:34","date_gmt":"2026-09-23T15:45:34","guid":{"rendered":"https:\/\/medibillmd.com\/blog\/?p=7359"},"modified":"2026-09-23T15:45:35","modified_gmt":"2026-09-23T15:45:35","slug":"devoted-health-credentialing","status":"publish","type":"post","link":"https:\/\/medibillmd.com\/blog\/devoted-health-credentialing\/","title":{"rendered":"Devoted Health Provider Credentialing &#038; Enrollment Guide"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">The healthcare industry continues to grow, and as more providers join the industry, they seek participation in Medicare Advantage networks for smoother reimbursements. That\u2019s when Devoted Health credentialing becomes an important consideration.\u00a0Devoted Health was <a href=\"https:\/\/www.devoted.com\/about-us\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">founded in 2017<\/a> by Todd and Ed Park. Today, it operates as a Medicare Advantage-focused health plan serving members in 29 states. Their stated mission is to provide better healthcare for older Americans.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For healthcare providers, enrolling in the Devoted Health network involves two major steps:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Network participation and contracting<\/li>\n\n\n\n<li>Completion of the required credentialing process<\/li>\n<\/ol>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Devoted Health provider credentialing may appear straightforward, but successful enrollment depends on accurate documentation and completion of payer-specific requirements.\u00a0But knowing how these steps connect and the common gaps can be the difference between a smooth onboarding and weeks of avoidable delay.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Interestingly, Devoted Health claims that more than 90% of its providers are <a href=\"https:\/\/www.devoted.com\/providers-ready\/\" rel=\"nofollow noopener\" target=\"_blank\">credentialed wi<\/a><a href=\"https:\/\/www.devoted.com\/providers-ready\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">t<\/a><a href=\"https:\/\/www.devoted.com\/providers-ready\/\" rel=\"nofollow noopener\" target=\"_blank\">hin 3 weeks<\/a> after a complete application is submitted.\u00a0However, actual timelines may vary depending on the completeness of the provider&#8217;s application, supporting documentation, and response to the primary source verification.<\/p>\n\n\n\t\t\t\t<div class=\"wp-block-uagb-table-of-contents uagb-toc__align-left uagb-toc__columns-1 uagb-toc__collapse uagb-block-a325bfd9      \"\n\t\t\t\t\tdata-scroll= \"1\"\n\t\t\t\t\tdata-offset= \"30\"\n\t\t\t\t\tstyle=\"\"\n\t\t\t\t>\n\t\t\t\t<div class=\"uagb-toc__wrap\">\n\t\t\t\t\t\t<div class=\"uagb-toc__title\">\n\t\t\t\t\t\t\tTable Of Contents\t\t\t\t\t\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 384 512\"><path d=\"M192 384c-8.188 0-16.38-3.125-22.62-9.375l-160-160c-12.5-12.5-12.5-32.75 0-45.25s32.75-12.5 45.25 0L192 306.8l137.4-137.4c12.5-12.5 32.75-12.5 45.25 0s12.5 32.75 0 45.25l-160 160C208.4 380.9 200.2 384 192 384z\"><\/path><\/svg>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"uagb-toc__list-wrap \">\n\t\t\t\t\t\t<ol class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#a-step-by-step-guide-to-devoted-health-credentialing-application\" class=\"uagb-toc-link__trigger\">A Step-by-Step Guide to Devoted Health Credentialing Application<\/a><ul class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#1-network-participation-request-submission\" class=\"uagb-toc-link__trigger\">1. Network Participation Request Submission<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#2-credentialing-execution\" class=\"uagb-toc-link__trigger\">2. Credentialing Execution<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#3-caqh-proview-profile-maintenance\" class=\"uagb-toc-link__trigger\">3. CAQH ProView Profile Maintenance\u00a0<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#4-facility-information-submission-for-groups\" class=\"uagb-toc-link__trigger\">4. Facility Information Submission (For Groups)<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#5-follow-up-request-responses\" class=\"uagb-toc-link__trigger\">5. Follow-up Request Responses<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#6-credentialing-committee-approval\" class=\"uagb-toc-link__trigger\">6. Credentialing Committee Approval<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#7-effective-date-confirmation\" class=\"uagb-toc-link__trigger\">7. Effective Date Confirmation<\/a><\/li><\/ul><\/li><li class=\"uagb-toc__list\"><a href=\"#devoted-health-provider-credentialing-requirements\" class=\"uagb-toc-link__trigger\">Devoted Health Provider Credentialing Requirements<\/a><ul class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#special-consideration\" class=\"uagb-toc-link__trigger\">Special Consideration<\/a><\/li><\/ul><\/li><\/ul><\/li><li class=\"uagb-toc__list\"><a href=\"#challenges-in-getting-credentialed-with-devoted-health\" class=\"uagb-toc-link__trigger\">Challenges in Getting Credentialed with Devoted Health<\/a><li class=\"uagb-toc__list\"><a href=\"#best-practices-for-devoted-health-insurance-credentialing\" class=\"uagb-toc-link__trigger\">Best Practices for Devoted Health Insurance Credentialing<\/a><li class=\"uagb-toc__list\"><a href=\"#in-a-nutshell\" class=\"uagb-toc-link__trigger\">In a Nutshell<\/a><\/ul><\/ul><\/ol>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>A Step-by-Step Guide to<\/strong> <strong>Devoted Health Credentialing Application<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Applicants may encounter delays in Devoted Health provider credentialing when they are unfamiliar with the application process or submit incomplete information. When completing a Devoted Health credentialing application, providers should generally work through the following steps:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">1. <strong>Network Participation Request Submission<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Providers who have not been credentialed with Devoted Health must visit the &#8220;<a href=\"https:\/\/www.devoted.com\/providers\/joinus\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Joining Our Network<\/a>&#8221; page rather than the credentialing portal. Participation requests are typically reviewed individually based on the network\u2019s needs.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Providers should allow 30-60 days for their participation request to be evaluated. If Devoted Health confirms a need in the provider\u2019s particular specialty or area, the provider will be contacted by a team member to discuss contracting.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If an applicant does not receive a response, it may indicate that Devoted Health is currently not accepting additional providers in that specialty or service area.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">However, the applicant\u2019s information is stored in the system for future network needs. Please note that completing this participation request does not itself constitute a Devoted Health credentialing application.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2. <strong>Credentialing Execution<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Contracting and credentialing are separate steps in the network participation process. Credentialing requirements are completed as part of Devoted Health\u2019s provider onboarding process. Providers should follow Devoted Health\u2019s instructions for submitting credentialing information.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3. <strong>CAQH ProView Profile Maintenance\u00a0<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Devoted Health uses CAQH ProView information as part of its credentialing process. Therefore, providers must ensure that Devoted Health can access their current CAQH profile. The profile should also include complete and up-to-date information to help prevent credentialing delays.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">4. <strong>Facility Information Submission (For Groups)<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Once a healthcare group has completed its Devoted Health contracting process, it can use the applicable credentialing workflow in Availity under the Devoted Health payer space. Groups can use it to submit facility credentialing information. Instructions are included in the application.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">5. <strong>Follow-up Request Responses<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Devoted Health\u2019s credentialing team may contact the provider if information is incomplete, outdated, or requires clarification. Therefore, busy providers must maintain a responsive and designated credentialing contact that can help prevent delays in the credentialing and enrollment process.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>6. Credentialing Committee Approval<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Before a provider begins rendering services or submitting claims under the Devoted Health network, he must meet the applicable Devoted Health insurance credentialing, contracting, and effective-date requirements.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Similarly, primary care providers may need to complete credentialing and receive network approval before members can be assigned to them, where applicable.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>7. Effective Date Confirmation<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Once the Devoted Health credentialing application status becomes \u201cApproved\u201d, the provider or group\u2019s credentialing contact is notified by email. Applicants can then review the effective dates through the <a href=\"https:\/\/www.devoted.com\/providers\/provider-tools\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Devoted Provider Portal via Availity<\/a> login. Providers who do not have active Availity access can contact 1-877-762-3515.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Availability:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>October to March:<\/strong> 8 am to 8 pm, 7 days a week.<\/li>\n\n\n\n<li><strong>April to September:<\/strong> 8 am to 8 pm, Monday to Friday, and 8 am to 5 pm, Saturday.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Devoted Health Provider Credentialing Requirements<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The Devoted Health credentialing forms and process may vary across specialties and designations. For instance, credentialing may not be needed for:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Mid-level providers working under direct supervision of another practitioner.<\/li>\n\n\n\n<li>Hospital-based healthcare professionals who provide incident-to services.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Moreover, Devoted Health lists required and exempted provider types in its Provider Credentialing FAQs. Providers who must credential must provide:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>An attested and active CAQH ProView profile and authorized Devoted Health to access and review it.<\/li>\n\n\n\n<li>An executed contract with confirmed roster placement.<\/li>\n\n\n\n<li>Complete and current facility and practitioner information submitted through Availity.<\/li>\n\n\n\n<li>A designated credentialing contact available to respond promptly to Credentials Verification Organization (CVO) inquiries.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Special Consideration<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">If a speciality involves covering absences, providers should know Devoted Health&#8217;s continuity-of-care rule:&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A Primary Care Physician (PCP) planning 90 consecutive days or more of absence must notify Devoted two weeks in advance via contact information available.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The notification must include the:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Dates of absence\u00a0<\/li>\n\n\n\n<li>Covering provider&#8217;s information<\/li>\n\n\n\n<li>A credentialed, in-network provider as a substitute provider<\/li>\n<\/ul>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Challenges<\/strong> <strong>in<\/strong> <strong>Getting Credentialed with Devoted Health<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Devoted Health credentialing and enrollment can be challenging because several friction points recur in the process. These may include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Providers may submit documentation before a contract is finalized, which can stall their progress with zero forward movement.<\/li>\n\n\n\n<li>A lapsed attestation or missing authorization can trigger outreach cycles that extend the total process time.<\/li>\n\n\n\n<li>Providers without Availity access have no self-service method to verify effective dates. Therefore, they must contact Provider Services directly.<\/li>\n\n\n\n<li>Providers in saturated specialties or areas may not get a response from Devoted Health at all. However, the provider information may be used for future reconsideration.<\/li>\n\n\n\n<li>Missing or inaccurate roster information delays processing.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Best Practices for<\/strong> <strong>Devoted Health Insurance Credentialing<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Enrollment and credentialing with Devoted Health can often result in delays and rejection if you don\u2019t take the right approach. Therefore, here are some best practices to help you:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ensure the <a href=\"https:\/\/www.dataspring.com\/clinicians\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Data Spring<\/a> (formerly CAQH ProView) profile is updated and accessible by Devoted Health before initiating the credentialing process.<\/li>\n\n\n\n<li>Provide one responsive credentialing contact to reduce back-and-forth when additional documentation is requested.<\/li>\n\n\n\n<li>Treat contracting and credentialing as individual steps, and do not begin credentialing until the contract is signed.<\/li>\n\n\n\n<li>Sign up for Availity before beginning so you can track the application status within effective dates without phone call follow-up.<\/li>\n\n\n\n<li>Remember, participation requests may take 30-60 days to evaluate, and additional credentialing steps will follow.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>In a Nutshell<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Devoted Health provider credentialing is a step-by-step process, and each step has its weight. Credentialing and enrollment errors can easily consume staff time that may be spent on patient care.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If your practice doesn\u2019t manage CAQH attestations, roster submissions, and CVO correspondence, MediBillMD\u2019s <a href=\"https:\/\/medibillmd.com\/services\/medical-credentialing-services\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>insurance credentialing services<\/strong><\/a> ensure that all these steps are handled with care.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The healthcare industry continues to grow, and as more providers join the industry, they seek participation in Medicare Advantage networks [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":7360,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","content-type":"","_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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Hamza","author_link":"https:\/\/medibillmd.com\/blog\/author\/ameer-hamza\/"},"uagb_comment_info":0,"uagb_excerpt":"The healthcare industry continues to grow, and as more providers join the industry, they seek participation in Medicare Advantage networks [&hellip;]","_links":{"self":[{"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/posts\/7359","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/comments?post=7359"}],"version-history":[{"count":1,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/posts\/7359\/revisions"}],"predecessor-version":[{"id":7361,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/posts\/7359\/revisions\/7361"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/media\/7360"}],"wp:attachment":[{"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/media?parent=7359"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/categories?post=7359"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/tags?post=7359"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}