For healthcare providers, credentialing is the key that unlocks the ability to bill insurance companies and serve more patients. Yet too often, the process drags on for months, creating cash flow challenges and frustration for both providers and their staff. At HealthHaven Advisors, we’ve helped practices navigate credentialing roadblocks and keep revenue flowing.
Here are the most common reasons credentialing delays happen — and how you can overcome them.
1. Incomplete or Inaccurate Applications
Even a small error, like a missing license copy or outdated address, can cause an application to be sent back for revisions.
How to speed it up: Double-check every detail before submission and maintain a centralized file of updated credentials, licenses, and certifications.
2. Slow Response from Insurance Payers
Insurance companies often have long review timelines, and without consistent follow-up, applications can get stuck in the queue.
How to speed it up: Assign someone on your team (or a credentialing partner) to track each application and follow up regularly with payers.
3. Verification Delays
Credentialing requires verification of education, training, work history, and references. If even one verifier is slow to respond, the whole process stalls.
How to speed it up: Reach out to verifiers in advance to confirm they’re prepared to respond quickly, and keep open communication throughout the process.
4. Changes in Provider Information
If a provider moves, updates their license, or changes their tax ID during credentialing, it can reset the process.
How to speed it up: Try to maintain consistency in provider details during the credentialing process and notify payers immediately if changes are unavoidable.
5. Lack of Internal Oversight
Many practices assume credentialing is “one and done,” but without oversight, renewals can lapse and lead to disruptions in billing.
How to speed it up: Create a credentialing calendar with renewal deadlines and set reminders well in advance.
The Bottom Line
Credentialing is complex, but it doesn’t have to be overwhelming. By anticipating common delays and putting systems in place, your practice can minimize downtime, improve cash flow, and get providers approved faster.
At HealthHaven Advisors, we manage the credentialing process from start to finish — so you can focus on caring for patients, not paperwork.
Need help speeding up your credentialing process? Connect with HealthHaven Advisors today
