Payer credentialing of providers is complex—and getting even more challenging due to regulations and market pressures. While your credentialing process largely mirrors the initial steps that health systems use to onboard clinicians, other factors make provider credentialing at payer organizations unique and complex.
Download this eBook to excel at managing those subtle differences, including:
• Compared with health systems, your organization is more likely to gather and parse providers’ utilization for cost containment.
• Meeting contract obligations means your organization must maintain visibility into contract assets to set and adjust the providers in-network.
• Your staff must accurately and consistently track precise individual clinician-level details, such as provider IDs, date ranges, tax identifiers, services, panel statuses, and directory flags.
For your health plan to fulfill its role in reining in healthcare costs generally, you must employ smart strategies to make the entire provider credentialing process easier and more efficient from start to finish—despite the myriad and ongoing challenges. Read more today.