Credentialing Services

Credentialing of providers in healthcare is the process of verifying and assessing the qualifications, skills, and professional background of healthcare practitioners to ensure they meet the standards and requirements for providers with specific insurance and facility and hospital networks. The goal of credentialing is to confirm that healthcare providers are qualified, competent, and adhere to industry standards, legal regulations, and ethical practices. 

Our team of credentialing experts are here to remove the hassle and confusion of payor enrollment, facility and hospital privileges and medical licensure of your providers in a painless and cost efficient way. Credentialing also assures the patient that they are being treated by providers whose qualifications, training, licensure, and ability to practice medicine are acceptable.


Providing variety of credentialing services for different specialties for Medical and Behavioral practices including

Credentialing process - CF Staffing Solutions - A BPO Company - Where to outsource credentialing service


1. Application Submission

Healthcare providers submit a comprehensive application with details about their education, training, licensure, certifications, and professional experience.

2. License Verification

The licensing status of the healthcare provider is confirmed, ensuring they hold a valid and current license to practice in their respective field and jurisdiction.

3. Education and Training Verification

Educational qualifications and training programs are verified to ensure the provider has received appropriate and accredited education and training.

4. Work History Verification

Employment history is checked to confirm relevant work experience and identify any disciplinary actions or malpractice issues.

5. Peer References

Colleague and peer references may be contacted to gather information about the provider’s clinical skills, professionalism, and interpersonal relationships.

6. National Practitioner Data Bank (NPDB) Query

A query is made to the NPDB, a database that tracks adverse actions against healthcare providers, to identify any history of malpractice claims or disciplinary actions.

7. Criminal Background Check

A criminal background check is often conducted to identify any criminal history that may impact the provider’s suitability for practice.

8. Drug Enforcement Administration (DEA) Registration (if applicable)

For providers who prescribe controlled substances, their DEA registration is verified.

9. Insurance Credentialing

Providers may need to undergo credentialing with insurance companies to be eligible for reimbursement. This involves submitting documentation to insurance networks to establish the provider’s qualifications and eligibility.