Provider Enrollment Request Cycle Time

Benchmarking Report

Provider Enrollment Request Cycle Time

This PDF report includes benchmarking data (in a visual, chart-based format), an comprehensive KPI definition, characteristics of high performers and technical details on measuring Provider Enrollment Request Cycle Time. Purchase and download this easy-to-understand, presentation-ready report immediately to compare performance levels, set attainable performance targets, and push towards best-in-class performance for this KPI.

What is Provider Enrollment Request Cycle Time?

The average number of days required for a health insurance company, or payer, to process a request from a healthcare provider for enrollment into their provider network, from the time the request is received by the payer until the provider has been credentialed and onboarded.

Why should Provider Enrollment Request Cycle Time be measured?

Provider Enrollment Request Cycle Time, or turnaround time, measures the amount of time it takes for a health insurance company to enroll a new healthcare provider (i.e., doctor/practice, hospital, pharmacy, etc.) into their healthcare provider network. Extended provider enrollment cycle times can negatively impact customer service levels (where the provider is considered a customer), as well as employee productivity and capacity within the Provider Services/Network Management function. A number of avoidable issues typically extend these cycle times, including highly manual enrollment processes (e.g., a high percentage of enrollments completed on paper forms), decentralized provider data (e.g., provider data resides in different systems), and a lack of provider data standards (for both inbound data and existing provider data maintenance).

Download a Sample Provider Enrollment Request Cycle Time

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