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Medical credentialing is the process by which healthcare Insurance companies review & authorize physicians and non-physicians to provide care services to insured members within their networks. The credentialing process verifies whether a physician is qualified to practice a specific specialty. Credentialing is considered the first step of the Revenue Cycle Management process since insurance companies will only pay claims from credentialed physicians.
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Medical credentialing is the process by which healthcare Insurance companies review & authorize physicians and non-physicians to provide care services to insured members within their networks. The credentialing process verifies whether a physician is qualified to practice a specific specialty. Credentialing is considered the first step of the Revenue Cycle Management process since insurance companies will only pay claims from credentialed physicians.