Strategic and Staffing Missteps from Poor Visibility into Credentialing Status and Timelines

$10,000–$100,000 per employer health plan launch or expansion from missed access guarantees, penalties or waived guarantees, underutilized providers, and the cost of temporary coverage solutions. • $10,000–$100,000 per expansion or contracting initiative due to delayed Medicaid panels, unused appointment slots, staffing imbalances, and unplanned use of outside groups to temporarily cover demand. • $10,000–$100,000 per new service or site from Medicare volumes starting later than forecast, underutilized staff and space, and rushed stopgap arrangements (e.g., borrowing already-credentialed providers) that cannibalize revenue elsewhere.

Asks WC coordinator manually; maintains informal WC scheduling notes; ad-hoc team communication; delays expected • Assumes Medicare 'moves faster than commercial' (myth); tracks via shared Google Drive or paper notes • Billing Specialist maintains separate self-pay credentialing list; tracks manually; relies on front office verbal confirmation