Wiki CREDENTIALING

[Pkirsch1]

Good Morning,

I have a question on credentialing. We have a provider that just got licensed. We send our claims out as a group practice. Does that mean this provider does not need to be credentialed?

Thank you,
Pamela

 

[SharonPSP]

The provider would still need to be credentialled under your group. We bill under a group NPI and Tax ID but all of our providers are still contracted with insurance under our group.

 

[Pkirsch1]

Thank you so much Sharon!