Why Medical Credentialing is Important?

Medical credentialing is important because the process offers patients a chance to confidently trust their selected physicians. It means providers are vetted for their education, degrees, work history, behavior, and other legalities before they become part of a payer network. Similarly, before a provider joins an organization, hospital, or surgery center, their documents and degrees are verified by a credentialing entity.

Often discussed along with medical credentialing is the process of enrollment. It is the process of applying to the insurance network to be included in their panel of providers.

List of Provider Medical Credentialing Services

• Credentialing services for doctors and healthcare bodies
• Medicare provider re-approval services
• Confirmation of credentials for doctors and subordinate healthcare providers
• System management for health plans
• Outsourced healing facility privileging
• Overseen care contracting
• Healthcare organization counseling