Provider credentialing vs. provider enrollment
Provider credentialing vs. provider enrollment
11 PagesThis white paper is an overview of the required credentialing process that a medical provider must complete and how it is distinct from the enrollment procedure that facilitates eligibility to accept patients and receive payments through a commercial insurance provider or government health plan. Provider credentialing and provider enrollment are two essential processes that must be completed in order for a health care provider to begin working in the industry and receive reimbursement payments from a health insurance plan. While they are similar in that each process can be considered a form of accreditation, their respective purposes differ.
