Broadway Elite Medical Cut Billing Errors by 25% by Closing a 120-Day Credentialing Gap

Broadway Elite Medical is Dr. Hayan Orfaly’s internal medicine practice in Texas. Every 120 days, the practice had to re-confirm its credentials with major insurers – and no one was tracking that deadline. That single gap was behind both the billing errors and the credentialing delays. Here is what OmniMD fixed, and how.

25%

Fewer Billing Errors

Since eligibility checks and claims scrubbing went live

15%

More Repeat Visits

Since automated patient reminders started

The 120-Day Credentialing Clock Behind the Problem

Here is something most people outside medical billing do not know. UnitedHealthcare, Aetna, Cigna, and Humana do not each verify a doctor’s credentials independently. They all pull from one shared file called CAQH ProView. That file must be re-confirmed every 120 days. Miss that window, and every one of those insurers can stop trusting the file at the same time.

Broadway Elite Medical had no way to track this deadline internally. Staff only found out something was wrong when a claim came back denied. By then, the visit had already happened. The practice had already spent the time and resources on the patient. Now it had to hope the claim could be corrected after the fact.

Why Texas Takes Longer to Credential a Doctor

Credentialing with major insurers typically takes 90 to 120 days anywhere in the US. In Texas, the timeline can stretch to 180 days because the state layered its own documentation requirements on top of each insurer’s existing process. A Texas practice starts with a longer initial wait, then repeats the re-confirmation cycle every 120 days for as long as it operates.

How a Credentialing Gap Turns Into a Billing Error

When an EHR and a billing system do not share data, staff re-enter the same information into both by hand. That includes billing codes and whether a doctor is still credentialed with a given insurer. If the billing system cannot see the credentialing status, it will send out a claim for a visit that may no longer be billable. Nobody catches this until the denial arrives weeks later.

Broadway Elite Medical’s billing errors and credentialing delays were not two separate problems. They both came from the same missing connection: credentialing data stored in one place while billing decisions were made in another.

The Platform OmniMD Built to Close the Gap

OmniMD brought Broadway Elite Medical’s EHR, revenue cycle management, scheduling, credentialing, and patient portal onto one integrated platform. The goal was not to add technology on top of existing processes. It was to replace five separate data silos with a single source of truth so every part of the practice could see the same information at the same time.

• Credentialing status feeds straight into billing – a problem surfaces before a claim goes out, not after it is denied
• Eligibility checks run in real time – the practice confirms coverage before billing for a visit
• Claims are scrubbed for errors before they are submitted to the payer
• One patient record replaces separate charts spread across disconnected systems
• Security is applied uniformly across the entire platform, keeping the practice HIPAA-aligned without managing multiple compliance postures

Why Running Five Systems Is a Security Risk

Every additional system that holds patient data is another potential entry point for a breach. According to HIPAA Journal, 2025 was the worst year on record for large healthcare data breaches in the US – 772 incidents that together exposed close to 140 million patient records. Consolidating onto one platform with a single security configuration, rather than managing five separate ones, eliminates a significant share of that surface area.

How OmniMD Rolled the Fix Out

Step 1 – Find the gaps. OmniMD mapped exactly where credentialing, billing, and scheduling were being tracked separately by hand, identifying which manual handoffs to eliminate before changing anything.

Step 2 – Connect the data. Everything was consolidated onto a shared platform before any automation was switched on. Eligibility checks and claims scrubbing are only reliable once the data behind them is already unified.

Step 3 – Turn on the automatic checks. With credentialing, billing, and scheduling sharing one dataset, automated eligibility verification and pre-submission claims scrubbing could finally function as designed.

Step 4 – Show staff what changed. The team was walked through exactly how the system now tracks the 120-day CAQH re-confirmation window automatically, so the deadline no longer depends on anyone remembering to check.

The Results Since Go-Live

Since going live on OmniMD, Broadway Elite Medical reported a 25% drop in billing errors and a 15% increase in repeat patient visits. Both outcomes trace back to the same underlying fix: credentialing, billing, and scheduling now share one set of data. Problems surface before they become denials, and patients hear from the practice before they consider going elsewhere.

Is Your Practice Tracking Its Own 120-Day Clock?

The 120-day CAQH re-confirmation requirement applies to every practice using the ProView system. Most practices discover they missed it only when a claim is denied. If your credentialing, billing, and scheduling still live in separate systems, you are likely carrying the same risk Broadway Elite Medical had before OmniMD. See how Shiloh Family Medicine resolved similar billing and credentialing gaps with the same platform.