Credentialing is the process of evaluating and confirming a healthcare provider's skills and experience. This includes doctors, nurses, and other medical professionals. Many healthcare providers and insurance companies stipulate this process as necessary for patient protection and service excellence.
Enrollment and credentialing are essential for establishing a practice that provides the highest level of patient care and insurance reimbursement. The enrollment and credentialing processes allow states and insurance companies to identify which medical practitioners meet their requirements. It is necessary for insurance reimbursement and to ensure your patients receive high-quality care from qualified providers.