What Credentialing Challenges Do New Medical Practices Face?

New practices encounter several hurdles including lack of practice history that payers typically review, no prior claim data to demonstrate volume or quality, longer approval timelines as new entities, potential delays in obtaining all necessary licenses and registrations, and difficulty demonstrating patient base without existing patient volumes. New providers should start credentialing applications 6-9 months before intended practice start date, maintain complete documentation, and consider interim solutions like locum tenens arrangements while awaiting full credentialing approval.