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Provider
Credentialing
Provider Credentialing is the very first requirement a provider needs to take before setting up a Practice. We can assist you with Provider enrollment and becoming an in-network provider to be able to receive reimbursement from Payers. Delays or non-credentialing status can seriously impact your reimbursement from Insurance companies.
Who Requires Credentialing?
Any licensed, independent healthcare professional who has been permitted by law and regulated by a licensing organization to provide services and care without supervision or direction within the scope of the individual’s license needs to be credentialed. Every state has unique laws regarding medical practice, simply having a healthcare profession license does not mean one can provide any medical service. This process takes time depending on the Insurance