Credential Providers

Provide an executive summary to your team on how to credential providers. You will need to consider the following:

  • Type of provider being credentialed
  • Steps they will go thru to be credentialed
  • Educational background needed
  • Does this provider have an NPI number?
  • State the provider will work in
  • Is there a standard application?
  • Is an onsite visit needed; why or why not
  • Who gets credentialed (list at least 5 specialties)
  • Are all facilities credentialed?

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