Credentialing, also known as insurance credentialing or doctor credentialing, is a process that verifies the qualifications, skills, and legitimacy of a healthcare providers. This process ensures that the provider has necessary licenses, certifications, and education to provide healthcare services to patients.

Only a credentialing provider is eligible to receive payments from the payer and work in compliance with the state and federal regulations. Medical credentialing authorizes physicians to practices in a specific facility and be included in insurance networks like CMS/Medicare, Medicaid, Aetna, Cigna, Humana, UnitedHealthcare, and Blue Cross Blue Shield.

As a provider, you want fast credentialing so as to start practicing and billing (legally and ethically). But credentialing is a complex process that involves a lot of documentation and verification at different stages by the insurance network. This means a single mistake can result in denials and wastage of resources such as time and money.

TechMedEx medical billing company offers the best healthcare credentialing solutions. Our professionals handle all the tasks for you, from primary source verification to enrollment in premium payer networks. We do all of this in minimal time and budget.