Credentialing Description

Credentialing has become a crucial process for healthcare providers today. Unlike in the past when many physicians could run cash-based practices, patients now increasingly insist that their insurance is accepted for payment. To avoid losing potential new patients, providers must be in-network with insurance companies.

Credentialing involves completing numerous applications for various insurers, submitting them, and frequently following up. For many providers, this process can be frustrating and time-consuming, as applications are rarely approved without issues. Providers often find themselves resubmitting applications, appealing rejections, and spending long hours on the phone with insurance companies, making credentialing a challenging task.