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1st Assistant Credentialing


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Credentialing is essentially doing a background check on a medical professional, provider or physician that is processed and completed by an insurance company or payer. Credentialing verifies a physician or provider’s expertise, background, experience in providing health services. Insurance companies review and validate the type and kind of care a doctor renders, a physician's training, experience, education and certifications. During credentialing the physician provides information such as their NPI number.