---
title: 'Navigating the Credentialing Maze'
type: 'episode'
url: 'https://doc.social/episodes/navigating-the-credentialing-maze'
show: 'Healthcare Crossroads'
show_url: 'https://doc.social/podcasts/healthcare-crossroads'
published: '2021-12-09'
audio: 'https://traffic.megaphone.fm/APO5098254413.mp3'
---

# 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 Enroll…

## Summary

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](https://pecos.cms.hhs.gov/pecos/help-main/checklists.jsp)

[CAQH Proview Resources](https://proview.caqh.org/Login/Index?ReturnUrl=%2f)

[UHC Credentialing Information](https://www.uhcprovider.com/en/resource-library/Join-Our-Network/Credentialing-for-Care-Providers.html)

[Understand No Surprise Billing](https://www.cms.gov/newsroom/fact-sheets/requirements-related-surprise-billing-part-ii-interim-final-rule-comment-period#:~:text=%20The%20rule%3A%20%201%20Bans%20balance%20billing,an%20in-network%20facility%2C%20unless%20certain%20notice...%20More%20)

[Is Balance Billing Legal?](https://www.aapc.com/blog/34357-balance-billing-is-it-legal/)

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