Payer policy · Definition
Credentialing: Definition
Enrolling a provider with each payer so their services are payable under the practice's contracts.
This is a short definition only. The full explanation lives on dermatology credentialing and payer enrollment, which is the page to read if you are dealing with this on live claims.
Definition
Also known as: Provider enrollment
It commonly takes 90 to 180 days per payer.
Services rendered before the effective date are typically not payable, and retroactive effective dates are payer-specific and never guaranteed.
Return to the dermatology billing glossary.