Credentialing & Enrollment

Credentialing & Enrollment in medical billing is the process of confirming and
establishing healthcare providers’ qualifications, credentials, and ability to participate in
various insurance networks and government healthcare programs. To become an
accepted provider, you must submit appropriate documents, including as licenses,
certificates, and training qualifications, to insurance companies, Medicare, and Medicaid,
and complete enrollment forms. This procedure guarantees that healthcare providers are
permitted to bill and be reimbursed for services provided to patients covered by these
programs.