You're probably living the same mess right now, a new provider has been hired, the welcome email went out, the roster looks “done,” and then weeks later claims start stalling because enrollment never caught up with credentialing.
You're probably living the same mess right now, a new provider has been hired, the welcome email went out, the roster looks “done,” and then weeks later claims start stalling because enrollment never caught up with credentialing.
The healthcare revenue cycle management market was valued at US$ 169.7 billion in 2025 and is projected to reach US$ 505.8 billion by 2035, growing at 11.54% CAGR according to healthcare RCM market sizing projections. That growth
Monday starts with a stack of eligibility issues from Friday, a payer portal that timed out halfway through claim status checks, and a coder asking whether the op note supports the modifier the surgeon documented. By noon,
Payers do not need to deny a claim to reduce its value. They can approve it at the wrong rate, reprice it through payer-specific logic, downcode it, or apply contract terms the practice does not challenge. For
