The operational process of credentialing a practitioner to participate in a health plan’s network has
some similarities to a hospital’s credentialing processes; however, there are also important distinctions.
The following table highlights some of the key differences between health...

The CRC team hears it often—dollars for education continue to dwindle. We know that often those in provider enrollment have to choose only one conference a year to attend, or have to submit a budget and proposal to attend educational opportunities in the upcoming year. Let us make your job a...

A health plan must designate a credentialing committee that uses a peer review process to make credentialing and recredentialing decisions. Members of the committee must include participating practitioners who can review and provide input on applicants for initial credentialing and...

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