How to Take Insurance as a Private Practice RD: Dietitian Credentialing

Today's an exciting day for the Healthy Bytes blog because we'll finally be diving into the details of getting setup to take insurance. Over the last few weeks, we covered the high-level details of how to get a nutrition private practice started, which we recommend checking out if you haven't already.

There are two main parts to getting setup with insurance:
1) credentialing and
2) contracting. 

Step 0: Before you begin 

Before you can effectively begin your insurance journey, you'll need to make sure you have the following:

If that list looks familiar and you're set with that information, you're ready to continue. 

Step 1: Credentialing

This is a process where insurance companies check to make sure that- "yep, you're a RDN in good standing". Lucky for us, there is now one unified system to help with this process- the CAQH. To get started, register with CAQH.

What information will I be asked? The CAQH is a form which essentially covers the content of your resume. It will ask for information about the following topics:

  • Basic personal information
    • Demographic info
    • License number
    • NPI
  • Education and Training
    • Graduate school
    • Internships
    • Fellowships and preceptorships
    • Teaching appointments
  • Specialties and Certifications
  • Practice Details
    • Name
    • Address and contact information
    • Billing, office manager and credentialing contact
    • Services, certifications, limitations and hours of operation
    • Partners and covering colleagues
  • Hospital Affiliation Information (if applicable)
  • Liability Insurance Information
  • Work History and References
  • Disclosure and malpractice history

Keep in mind that not every question will apply to you and your practice. Some of the questions will be geared toward much larger institutions, like a large physician practice with lots of staff. 

Great News!

Once you get the CAQH completed a large part of the contracting work is done. We will go over the next step, contracting, in a future post.