Selecting which plans to enroll with through Zaya

Modified on Tue, 19 Aug at 10:13 AM

Last updated: Aug 10th 2025

Quick definitions

Credentialing (insurance‑agnostic): Verifying your providers' qualifications and practice details so they can participate with insurance carriers.
Enrollment (insurance‑specific): Linking an eligible, credentialed provider to a specific plan so claims can be billed in‑network.

How to choose plans (practice‑level)

In your Zaya portal:

Go to "Admin" on the left panel.
Click the link to update your insurance enrollment preferences.
Fill out the form and click Submit.

Note: Submitting this form replaces your previous preferences. If you remove a plan you were enrolled in, Zaya will send a termination notice for your providers to that insurance.

Medicare Advantage (simple rule)

You indicate your enrollment preference once for Medicare Advantage (MA).
When marked as enrolled, MA is added as an accepted plan only to the insurance plans where you’re already commercially opted in.
While you may choose to not enroll with a certain insurance altogether, you may not enroll with the Medicare Advantage product of an insurance without accepting their commercial product patients

Processing timeline

Zaya is a delegated entity with most insurance plans, meaning plans authorize us to perform credentialing and process enrollments on their behalf under agreed standards. Practically, this lets us credential and enroll providers much faster than typical carrier‑direct timelines.

Our part: We submit updates quickly once your form arrives.
Your part: You act quickly on any requested documentation or actions by our credentialing team
Insurance directories: Public listings are controlled by insurance plans and may take up to ~3 months to reflect changes, even when your enrollment is already active respectively a provider's termination already submitted.

Active enrollments (when you can bill)

On your Zaya Portal, under the 'Admin' section, it shows each insurance next to the provider, with in‑network status and an effective date. The status is updated live.
You can bill in‑network once the status says 'In-network' and the effective date is reached.

For any questions, our credentialing & enrollment team is here to help you - email credentialing@zayacare.com