Credentialing Timeline Calculator

Provider credentialing steps and expected duration.

Application prep (days)

Primary source verification (days)

State license verification (days)

Hospital privileges (days)

Number of payers

Avg payer enrollment (days)

Committee review (days)

Expected daily revenue ($)

Has existing state license? (0=No, 1=Yes)

Tab to move between fields

Total timeline (days)

211

Revenue opportunity cost

$738,500.00

≈ 18 Teslas

Total timeline (weeks)30.1

Total timeline (months)7

Expedited timeline (days)184

Days saved by expediting27

Expedite cost$1,750.00

Revenue saved by expediting$94,500.00

Admin staff hours needed80

How to Use This Calculator

Enter each credentialing phase duration: Application prep, Primary source verification, State license verification, and Committee review days.
Add Hospital privileges (days) if applicable — set to 0 for outpatient-only providers.
Enter the Number of payers and Avg payer enrollment (days) to capture the slowest enrollment bottleneck.
Toggle Has existing state license to shorten the verification timeline for providers already licensed in the state.
Review Total timeline (days) and Revenue opportunity cost to understand the financial impact of the credentialing gap.
Compare the Expedited timeline against Expedite cost and Revenue saved by expediting to decide whether rush processing is worthwhile.

How the result changes with Hospital privileges (days)

Application prep (days): Days to gather documents, complete forms, and submit initial application.
Primary source verification (days): Days for education, training, board certification, and DEA verification.
State license verification (days): Days for state medical board to verify or issue license.
Hospital privileges (days): Days for hospital credentialing committee. Set to 0 if outpatient only.
Number of payers: Number of insurance payers to enroll with.
Avg payer enrollment (days): Average time for the slowest payer enrollment to complete.
Committee review (days): Days for medical staff committee or board review and approval.
Expected daily revenue ($): Projected daily net collections once provider is fully credentialed.
Has existing state license? (0=No, 1=Yes): If provider already holds an active state license, verification is faster.

Total timeline (days): Critical path duration from start to full enrollment.
Total timeline (weeks): Critical path in weeks.
Total timeline (months): Critical path in months.
Revenue opportunity cost: Estimated revenue forgone during the credentialing period.
Expedited timeline (days): Timeline if payer enrollments are expedited (~30% faster).
Days saved by expediting: Calendar days saved with expedited payer enrollment.
Expedite cost: Estimated cost for rush processing with payers.
Revenue saved by expediting: Additional revenue captured by shorter credentialing.
Admin staff hours needed: Estimated total administrative hours to manage the credentialing process.

Identify Input Parameters
4 parameters
Application prep (days) = 10, Primary source verification (days) = 45, State license verification (days) = 30, Hospital privileges (days) = 90 = 9 input(s) provided
Calculate Total timeline
Total timeline = applicationPrep + parallelVerification + committeeReviewDays + totalPayerDays
211 = 211
Calculate Revenue opportunity cost
Revenue opportunity cost = expectedDailyRevenue * criticalPathDays
738500 = $738,500
Calculate Total timeline
Total timeline = criticalPathDays / 7
30.1 = 30.1
Calculate Total timeline
Total timeline = criticalPathDays / 30
7 = 7