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Navigating the Credentialing Maze

Today we discuss the Maze of Provider Credentialing and Important reasons to Credential your Facility and Provider with an Insurance company.

Objective:

Using PECOS and CAQH

Importance of Payer Contract Negotiations

Updating Provider Enrollment

Inhouse or Outsourcing

Please see these helpful links mentioned in the podcast:

PECOS Enrollment Checklist

CAQH Proview Resources

UHC Credentialing Information

Understand No Surprise Billing

Is Balance Billing Legal?

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