THE HIDDEN COST OF IN-HOUSE
Internal credentialing teams absorb every standards update, every directory rule and every staffing gap. The figures below describe industry-wide burden, drawn from CAQH analysis citing Booz & Company and MGMA (2011). They are not savings attributable to any single vendor.
spent annually by payers maintaining provider databases, per a Booz & Company analysis cited by CAQH.
of those maintenance costs could be offset by an external single source of truth, per CAQH.
credentialing applications submitted per physician each year, per MGMA research cited by CAQH. Every one lands in someone's queue.
monitoring cadence under NCQA's 2025 credentialing standards, alongside shorter verification windows. Internal teams staff for both.
Headcount scales with provider volume and recredentialing peaks
Separate tools for PSV, monitoring, rosters and enrollment
Every NCQA and CMS update becomes an internal project
Audit prep pulls staff away from production work
Turnover and vacancies stall the queue
Every verification starts from zero, even for shared providers
Capacity flexes with volume, including backlogs and surges
PSV, committee support, monitoring and rosters in one contract
Standards updates built into the platform and the service
Audit-ready files with source, method and timestamp on every element
Dedicated Client Success Manager, no ticket queues
SharedCred: start from a governed verifications packet for shared providers
Credentialing committee review, approvals and final network decisions remain yours.
Your credentialing criteria and clean/non-clean logic drive how files are prepared and escalated.
Full visibility into what was checked, how and when, so delegation oversight is straightforward to evidence.
