Credentialing definition

Credentialing means the process of collecting, assessing, and validating qualifications and other relevant information pertaining to a health care provider to determine eligibility and to deliver Covered Services.
Credentialing means the process of assessing and validating the qualifications of a provider applying to be approved by a contracting entity to provide basic health care services, specialty health care services, or supplemental health care services to enrollees.
Credentialing means obtaining, verifying, and assessing the qualifications of a health practitioner to provide treatment, care, or services in or for a health facility.

Examples of Credentialing in a sentence

  • California Credential requirements are subject to change pending direction from the California Commission on Teacher Credentialing (CCTC).


More Definitions of Credentialing

Credentialing means the acts of an examining board, sec- tion of an examining board, affiliated credentialing board or the department that relate to granting, issuing, denying, limiting, sus- pending or revoking a credential.
Credentialing means the administrative process for reviewing, verifying, and evaluating the qualifications and credentials of licensed physicians, physician assistants and advanced practice registered nurses in accordance with criteria established by the nursing facility for the purpose of granting clinical privileges at the nursing facility.
Credentialing or "recredentialing" means:
Credentialing means a process through which a health insurer makes a determination based on criteria established by the health insurer concerning whether a physician, advanced registered nurse practitioner, or physician assistant is eligible to provide health care services to an insured and to receive reimbursement for the health care services provided under an agreement entered into between the physician, advanced registered nurse practitioner, or physician assistant and the health insurer.
Credentialing means the process through which an individual is
Credentialing means a clinical determination that is the responsibility of a physician medical director. It is the employer or affiliating organization’s responsibility to act on the clinical credentialing status of EMS personnel in making employment or deployment decisions.
Credentialing means the issuance of or approval by the Arkansas State Board of Pharmacy of a credential issued to a pharmacist by an agency approved by the board certifying that the pharmacist has met the standards of competency established by the Arkansas State Board of Pharmacy for disease state management or other pharmacy services necessitating a credential;