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- A credentialing process is utilized by health care facilities as part of its process to allow practitioners to. provide services on its campus, health plans to allow providers to participate in its network (provider enrollment), and other health care entities that have a need to hire or otherwise engage providers.
The general timeframe for healthcare providers to complete credentialing is between 90 to 120 days. However, this is an average estimate. Some payors may complete the process quicker, while others might take longer, especially for certain specialties.
Credentialing in healthcare is one of the first steps to a provider being able to practice. The rigorous process safeguards the integrity of the field, ensuring that only competent and qualified individuals are granted the privilege to provide care.
The physician supplies the information required, including contact information, current CV, education and training history, licensing and certificates, medical group and hospital affiliations, Board certifications, sanctions or malpractice history, proof of liability insurance and peer references.
An example of credentialing would be the physicians credentialing process, where a doctors medical degree, residency training, board certification, and state licensure are verified before they are allowed to treat patients at a hospital or medical facility.
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