What it costs while files wait
  1. The problem
  2. What we do
  3. What it's like for you
  4. Getting started

The problem

What it costs while files wait

Three costs show up in every group we talk to. Only the first one is easy to see.

1 · Revenue that waits

~$590 a day

A provider who collects about $18,000 a month leaves roughly $590 unbilled for every day they wait to be credentialed and enrolled. A 90-day wait is about $53,000, for one provider.

Example from our calculator's assumptions. Run your own numbers.

2 · Things that lapse quietly

  • A license, DEA registration or malpractice certificate that expires
  • A CAQH attestation that runs out (every 120 days)
  • A re-credentialing date that passes (every 36 months)
  • A monthly exclusion check that never happened

Each one surfaces as a denied claim, a recoupment, a payer termination letter, or an audit finding, usually after the money is gone.

3 · Rosters payers have wrong

  • A provider who left is still listed
  • A new location or address never reached the payer
  • The NPI or name doesn't match the national registry

Payers pay against the roster they hold, and directory rules now expect provider details confirmed every 90 days.

For a 200-provider group hiring 10 a quarter, our calculator puts about $2.1M of billing a year in the waiting line alone, before anything lapses.

In one sentenceWaiting costs money every day, and lapses cost more, later, when they're harder to fix.