Payor Enrollment Mistake #2: Confirm realistic timeframes for processing

The key to avoiding payor enrollment mistake #2 is to be patient before accepting new patients. To avoid payor enrollment mistake #2, pick your favorite overly used cliché:

• Don’t count your chickens before they hatch

• It ain’t over until the fat lady sings

• Don’t count your money before the deal is done

• Don’t assume your payor enrollment application is accepted until it is approved

We understand the excitement. The opportunity for new and existing physician practices and medical providers to accept new patients from new insurance networks is exciting and critical for lasting success.

However, it is important to be patient after you submit a payor enrollment application. Remember, it can take up to 120 days to be approved. This is why open and honest communication is essential.

When submitting a new payor enrollment application, be upfront and respectfully inquisitive. Ask how long the application and approval process takes and make sure to communicate the timeframe within your practice.

Setting clear expectations will help temper the excitement and help mitigate the temptation to accept patients before the application is final. Even after receiving pending approval, it can take up to 30 days to be officially approved for reimbursement.

Payor enrollment mistake #2 is easy to avoid with patience.

To learn more about 1ˢᵗ Credentialing and how we may help you, please feel free to contact us directly by phone or email.