DIY Credentialing : Here's what you will need!

02/13/22 • 17 min

Medical credentialing is the process by which healthcare Insurance companies review & authorize physicians and non-physicians to provide care services to insured members within their networks. The credentialing process verifies whether a physician is qualified to practice a specific specialty. Credentialing is considered the first step of the Revenue Cycle Management process since insurance companies will only pay claims from credentialed physicians.

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Credentialing with a Burned Tax ID

Medical credentialing verify that medical professionals are properly trained and certified and have the required professional experience to provide healthcare services to patients. It’s the most important aspect of maintaining high standards of safety in the medical profession. Here's what can happen when providers aren't honest about their credentialing history.