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Credentialing

Credentialing

We help healthcare organizations become more responsive to providers, members and patients. We do this using data-driven processes and technology to address longstanding inefficiencies in credentialing and compliance.

Credentialing — also called medical, provider or physician credentialing — is a detailed process that reviews doctors’ qualifications and career history including their education, training, residency and licenses, as well as any specialty certificates. Credentialing must be completed upon the hire or enrollment of a new doctor and regularly afterwards to abide by the standards set forth by regulatory and accreditation organizations such as the National Committee for Quality Assurance (NCQA) and The Joint Commission (TJC).

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