In healthcare, a physician’s salary begins on their contractual start date. Their billing, however, does not begin until the final commercial health plan executed contract clears the clearinghouse. In between sits an average delay of 60 to 180 days.
The Real Cost of Delayed Activation
According to the 2026 Medallion State of Payer Enrollment Report, 69% of US healthcare provider groups lose between $1,000 and $5,000 per clinician per day to credentialing lag. For a group hiring ten physicians a year, an average 90-day delay per doctor results in over $900,000 in unbilled deferred revenue.
How to Implement the 120-Day Cadence
Leading medical groups do not wait for orientation day to initiate CAQH ProView setup. By utilizing HRIS webhooks triggered upon signed offer letters, ClearPath Payer runs 10-point Primary Source Verification and dispatches PECOS and commercial health plan dossiers at T-120 days.