Provider Credentialing

Provider credentialing is the process healthcare organizations use to verify a medical professional’s education, licensing, certifications, and work history. This ensures the provider meets the required standards to deliver quality care and is authorized to practice within a specific organization or insurance network. Credentialing helps protect patients by confirming providers have the necessary qualifications and prevents unqualified individuals from practicing. It is a routine, thorough review conducted before and periodically during a provider's employment or participation in insurance plans to maintain trust and safety in healthcare delivery.