Free Tool
Credentialing Delay Cost Calculator
While a provider waits on credentialing, visits to that payer may not be billable yet. Put your own numbers in and see what a delay could cost, then decide how much “saving money on credentialing” is really saving.
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What The Delay Could Cost
estimated visit revenue during the delay window
Estimates assume a ramped caseload, in-network rates and that every visit in the delay window goes unbilled to that payer; your payer mix, no-show rate, and ramp curve will move the number. This is a planning tool, not a revenue promise.
How To Shrink The Delay (Whoever You Hire)
Fix CAQH/DataSpring Before Applying
Mismatched addresses between CAQH, your W-9 and your applications are a common silent stall. Clean that up first. It’s free.
Apply In Parallel, Follow Up On A Clock
Apply to all your target payers at once, follow up with each one every two weeks, and escalate anything that’s 30 or more days past the payer’s quoted timeline.
Confirm Payer Effective Dates Before Billing
Visits before the effective date are often not payable, though some payers and states set the date earlier. Confirm each payer’s effective date in writing before you start billing that payer, and plan provider ramp around actual enrollment status.
Full detail in Credentialing Taking Too Long? and the PMHNP credentialing timeline guide.
Take This Math With You
The Cost Of Waiting To Credential worksheet: the same math as this calculator on paper, plus a side by side of your three options, ready to share with a partner or your group. We email it to you right away.
Choose The Right Credentialing Path
Opening a practice, adding a provider, moving existing payer relationships, and seeking new contracts require different work. See the price and scope that match your situation.