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ByLily Androsiglio

What’s the difference between Credentialing and Contracting a Provider?

What Is Credentialing?

Credentialing is the formal process of verifying a provider’s qualifications. This ensures that doctors and nurses have the proper training and experience to provide the highest level of care to patients. The provider credentialing process is completed by verifying all provider documents and ensuring that they are valid and current. Most health insurance companies will not even offer reimbursements if providers lack medical credentialing.