This scrutiny encompasses the examination of current professional licenses, validation of Drug Enforcement Administration and Controlled Substance Certificates, confirmation of educational background, postgraduate training, hospital privileges, and the extent of liability insurance coverage.The initiation of this process involves the acquisition of Credentialing Application Kits from all commercial and governmental health insurance entities.
Upon submission of duly completed applications, diligent follow-ups are conducted with the insurers to secure the Provider or Group ID #, thereby confirming the healthcare provider's inclusion in the insurance network.
Regular bi-weekly updates are provided to the provider throughout the validation process until the effective enrollment date is determined, enabling the provider to commence claim submissions promptly.
