Credentialing is the process of verifying a provider?s qualifications to ensure that they can provide care to patients. Most health insurance companies require this process including CMS/Medicare, Medicaid, and Commercial plans, as well as hospitals and surgery centers. The providers credentialing process is completed by verifying all of a provider?s documents to ensure that they are valid and current. These include their medical license, malpractice insurance, and DEA.
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