Cristine Alex

Why Your Medical Practice Needs Medical Credentialing

Medical credentialing is the procedure through which insurance companies review and verify a doctor's or other practitioner's qualifications. Verifying the physician's education, training, residency, licensure, malpractice coverage, clinical judgment, and any certifications relating to their specializations is part of the procedure. The insurance payer employs data collection, source verification, and committee review, among other procedures, to ensure that the practicing physician maintains the medical community's standard of quality.