Robust Credentialing process helps the Healthcare organizations realize the revenues faster. Credentialing for Provider organizations include Physician/Provider enrollment and attestation with the Payer’s network and authorized to provide services to patients who are members of the Payer’s plan. The credentialing process validates that a Physician meets the standards for delivering the clinical care, wherein the Payer verifies the Physician’s education, license, experience, certifications, affiliations, malpractice, any adverse clinical occurrences, and training.
Our data-driven approach tremendously augments and accelerates the credentialing process. Use of AI and Intelligent Automations to automate the verification and validation of the credentialing processes and streamline the end-to-end credentialing processes.
Our data-driven approach involves: