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How to Navigate the Credentialing Process for a New Practice

Writer's picture: Vanessa PearsonVanessa Pearson


Setting up a new practice can be a huge undertaking, especially when it comes to the credentialing process. Credentialing is the process of verifying and validating your qualifications, experience, and reputation in order for you to be eligible for provider networks. It’s important to understand the length of this process and how best to navigate it when setting up a new practice. Let’s take a closer look at the credentialing process and what you need to know.

Requirements to Apply

The Length of the Credentialing Process

Common Challenges When Applying for Group & Individual Contracts

Overview of Potential Appeals for Network Rejection

Transferring Group Contracts (rare)

Strategies for Re-Applying Every Six Months If Networks Don’t Accept New Providers in the Area

In Conclusion










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