What is Credentialing?

Category: Healthcare

1Definition

The process of verifying a healthcare provider's qualifications, education, training, and licensure.

2Context

Required before providers can join insurance networks or hospital medical staffs. Protects patient safety.

3Example

Before a new surgeon can operate at a hospital, credentialing verifies their medical school, residency, and malpractice history.

⚠Common Trap

Credentialing isn't a one-time event—providers must be re-credentialed regularly, usually every two years.

More Healthcare Terms

Get clear definitions without the jargon