Know exactly which providers
count toward your adequacy score.
Pending isn't the same as credentialed. Blueprint tracks every provider through your 6-stage credentialing workflow and only counts fully credentialed providers toward your CMS network adequacy submission.
Workflow
6 stages. Every provider tracked.
Blueprint's credentialing workflow mirrors the actual process — from application sent to fully credentialed and counting toward your county adequacy score.
Credentialing packet delivered to provider
CAQH profile current and complete
License, DEA, board cert confirmed
Pending credentialing committee approval
Approved — counting toward network adequacy
2-year cycle approaching — alert triggered
Only "Credentialed" providers count. Blueprint excludes providers in any other stage from your county adequacy calculation — so your score always reflects the providers CMS will actually count.
Features
Everything a credentialing team needs.
Stage-by-stage tracking
Every provider has a credentialing status that moves through Blueprint's 6-stage workflow. Your team sees exactly where each provider is — and what's blocking them.
CAQH integration
Blueprint checks CAQH profile status automatically. Providers with outdated or incomplete CAQH profiles are flagged before they slow down your credentialing cycle.
Expiration alerts
License expiration, DEA renewal, board cert — Blueprint monitors expiration dates and alerts your team 60, 30, and 7 days before a lapse. No surprises.
Document storage
Credentialing documents attach directly to the provider record. CAQH attestation, license copy, malpractice certificate — all in one place, searchable.
Adequacy connection
Only credentialed providers count toward your CMS adequacy score. Blueprint automatically excludes pending providers from your county score until they're fully credentialed.
Committee workflow
Track credentialing committee review dates and decisions. Providers pending committee review are flagged in your adequacy timeline so you can plan for the delay.
The risk
Credentialing takes 90 days.
Your submission deadline doesn't care.
The average credentialing cycle runs 60–90 days. Plans that start recruiting providers too close to their adequacy submission deadline — and don't account for credentialing time — discover at submission that half their "contracted" providers don't yet count.
Blueprint shows you your credentialing timeline projection: given providers currently in each stage, what will your adequacy score look like in 30, 60, and 90 days?
Credentialing timeline
Today
12 providers contracted, 3 credentialed
+30 days
6 more expected through committee review
+60 days
3 more complete primary source verification
Filing
All credentialed — clean submission ready
Blueprint updates this projection in real time as providers move through stages
Stop guessing how many providers count.
Blueprint gives your credentialing and network development teams a shared view of who's in the pipeline, who's credentialed, and exactly what your adequacy score will be on filing day.