Payer policy
Credentialing
Enrolling a provider with each payer so their services are payable under the practice's contracts.
What it means in dermatology
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.
Re-credentialing cycles and expiring licenses or DEA registrations silently stop payment when they lapse.
Why it matters to your revenue
Scheduling a new dermatologist before enrollment completes creates an A/R hole that no billing process can fix.
See this term in your own numbers
A free claims audit reviews a de-identified sample of your dermatology claims and returns a line-item findings report — including where terms like this one are costing you money.
Request a free claims audit