Credentialing · Florida (FL) · Dermatology
Un-credentialed encounters generally cannot be billed to payers — enrollment delay is deferred revenue. ShtegMed makes each phase visible so finance can see exactly where a provider file is stuck.
Provider roster intake, CAQH attestation check, and document collection. Missing or stale CAQH attestations are the most common cause of downstream delay.
State license boards, DEA registration, and board certification are verified at the primary source. ShtegMed is fail-closed: an unreachable or unconfigured source yields INDETERMINATE — a provider is never assumed verified.
OIG-LEIE, SAM.gov, and NPDB screening with ongoing re-screening. Any blocking hit marks the provider SANCTIONED and stops new settlement advances through the gate.
Per-payer enrollment for claims (EDI) and remittance (EFT). NOT_ENROLLED is surfaced as a non-blocking warning so clean claims are not silently held.
License-expiry windows drive EXPIRING_SOON warnings ahead of lapse, supporting the recredentialing work each reappointment cycle requires.
All durations are typical industry estimates, not guarantees. Actual timelines vary by state board, payer, and completeness of the provider file. ShtegMed surfaces live per-phase status instead of promising a fixed turnaround.
Most payers will not reimburse services rendered before a provider is credentialed and enrolled, so every week of delay defers billable revenue. ShtegMed tracks each phase (intake, PSV, sanctions screening, payer enrollment) per provider so the bottleneck is visible rather than a black box.
No. Turnaround depends on state boards, payers, and the completeness of the provider file. ShtegMed publishes typical estimated ranges and shows live per-phase status instead of promising a fixed number of days.