The High Cost of Credentialing Delays
Credentialing delays are a hidden but significant drain on healthcare practice revenue. When new providers wait 90–120 days (or longer) for payer approval, they cannot bill for services, leading to lost income, disrupted patient care, and administrative inefficiencies. Delegated credentialing — where payers authorize provider organizations to credential their own practitioners — shortens approval timelines from months to weeks, allowing practices to start billing sooner and reducing revenue leakage by tens of thousands of dollars per provider.
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The Hidden Cost of Credentialing Delays & Bad Data for ACOs
When credentialing is delayed or provider data is incomplete, ACOs face hidden financial risks: missed attribution, leakage, and reduced performance on quality and utilization metrics. Directory errors compound the problem, leading to missed visits when patients cannot locate an in-network provider. Together, these issues reduce earned shared savings and can even create penalties under downside risk arrangements.
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