What is Credentialing
Credentialing is an essential part of becoming a trusted healthcare provider by the endless list of insurance company venders out there in the marketplace. Given that credentialing is a precursor to contracting, it can be incredibly important given many patients refuse to visit a physician not in their insurer’s network.
Credentialing, also called primary source verification, is an intensive process whereby the insurance company conducts a background check on the physician. They verify the healthcare provider’s education, competencies and legal authorization to practice medicine.