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Credentialing / Recredentialing Checklist

The Ulitmate Physician Credentialing Checklist

The process of credentialing can be easily comprehended as it involves acquiring and validating information to determine a physician’s ability to fulfill their medical responsibilities.

What is Provider Credentialing?

Credentialing is the process of verifying the qualifications and credentials of healthcare providers to ensure that they are qualified to provide care to patients. This process is critical to maintaining high standards of patient care, and it is essential that all healthcare providers go through a thorough credentialing process.

This involves submitting the following information to regulatory agencies and insurers:

  • Licensure Materials
  • Diplomas (Med school, residency programs, etc.)
  • Criminal Background
  • Health Status
  • Board Certifications

Depending on the speed of delivery and efficiency of your in-house team in connecting these materials with payors, the credentialing process can take anywhere from 60 to 120 days.

What happens next?

  • Fill in your practice details
  • Get a detailed checklist
  • Prepare required documents
  • Start submitting applications

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