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What is the purpose of provider credentialing?
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1 Answers
Before a provider or organization can bill an insurance carrier, the provider must first be credentialed by the carrier. Credentialing is the process by which a health insurance carrier formally assesses a provider's qualifications, and competency based on demonstrated competence.
What are primary and secondary care services?
Asked by unknown
1 Answers
Primary care involves your primary healthcare provider. You see them for things like acute illnesses, injuries, screenings, or to coordinate care among specialists. Secondary care is the care of a specialist. These specialists may include oncologists, cardiologists, and endocrinologists.
What is a credentialing specialist do?
Asked by unknown
1 Answers
Credentialing Specialists ensure that medical staff members' maintain current credentials and licenses to work legally in their field or specialty. A thorough knowledge of applicable medical policy is also needed. Credentialing specialists often work independently.