Credentialing Services

Credentialing Services

Provider Credentialing Services

Verifying a provider's credentials to make sure they are qualified to care for patients is known as credentialing. The majority of health insurance providers—including hospitals and surgery centers—require this procedure, including CMS/Medicare, Medicaid, and commercial insurers.

The final step in the credentialing process for providers is to confirm the validity and currency of each document submitted by a provider. These consist of their DEA, malpractice insurance, and medical licence. Additional data required for certification completion: