Credentialing

Credentialing is the process of review and verification of the information of a health care provider or practices who is interested in participating with assorted Insurances in their state or out of State.

Credentialing Team review and verification current professional license(s), current Drug Enforcement Administration and Controlled Drug Substance Certificates, verification of education, post-graduate training, hospital staff privileges and levels of liability insurance.

The process start with requesting Credentialing Application from all the commercial and government health Insurances. After submitting the signed applications, we follow-up with the payers and confirming that the doctor or group is participating with the insurance. Complete on-line applications and apply to obtain an NPI