What is credentialing & contracting?
Credentialing refers to the process of a clinician undergoing a background check with an insurance payer in order to verify that provider’s education and licensing to practice medicine. Contracting, which takes place once credentialing is completed, involves a clinician signing onto an agreement with an insurance payer under which the provider will be reimbursed for services rendered to patients covered by that insurance company.
Why is credentialing & contracting important?
Without having undergone credentialing & contracting with a given insurance payer, a provider cannot receive reimbursement from that payer. For obvious reasons this is detrimental to the practice financially. Additionally, a provider cannot be considered to be “in-network” for an insurance payer without having undergone that payer’s credentialing and contracting process. As many patients refuse to see providers outside of their insurance plan’s network due to the additional cost they face when doing so, this has the capacity to greatly diminish a practice’s potential patient population.
SolutionsHub can help.
At Henry Schein SolutionsHub, we understand the importance of staying on top of your payer contracts to be sure your practice’s finances stay healthy. For that reason, we’ve carefully vetted the vendors we offer to ensure that you find a partner who will simplify and streamline this important process for you so that you can focus on why you really got into medicine in the first place – your patients.
Credentialing & Contracting solutions for your growing practice
Focus on your patients.
We’ll handle the rest.
More than 7,000 healthcare providers rely on Henry Schein Hub to select the clinical, financial, and operational solutions that power their practice.
Solutions are evaluated, packaged, and supported by clinical and technology experts who understand the unique demands of healthcare.
Our peer reviewed software and solutions are seamless to implement, and will help your practice run more effectively and efficiently.