Provider Credentialing

What is provider credentialing? Why is it essential?

Provider credentialing is an important but arduous process that benefits from an experienced professional who understands the lay of the land. It’s a system of proving to medical organizations that you, as a healthcare provider or network of practitioners, have the necessary licenses, certifications, and training to provide your patients with proper medical care.

Insurance Credentialing

"Getting on an insurance panel” is how you become an approved in-network provider for a health insurance company. We can assist with that process.

Paperless Credentialing

We offer credentialing in a paperless format, which and keeps our process efficient and saves you hassle and time.

Identified challenges to credentialing services

Provider credentialing is one key step during the contracting process between a healthcare provider and payor. We look through the specifications of your credentialing applications to thoroughly complete all paperwork and identify any exceptions.  

Completing applications

We look through the specifications of your credentialing applications to thoroughly complete all paperwork and identify any exceptions.

Verifying credentials

We liaise with the appropriate licensing authorities, medical schools, previous employers, and healthcare agencies to double-check that every piece of evidence is in order.

Updating payor relationships

We submit the relevant documents, follow-up with payors about ongoing credentialing requests, and re-submit any updated or renewed credentials.

Ensuring the process is complete

We ensure a successful credentialing process and provider enrollment application.

Information gathering

We work with your network of practitioners to acquire the certificates, letters, licenses, and degrees proving full compliance with the credentialing requirements.

Our comprehensive onboarding process

Throughout our partnership with your hospital system, we’re dedicated to fostering a long-lasting relationship and getting to know your healthcare business from the inside out.

Our Testimonials

David Siegal

They are the perfect answer for companies that need guidance, support, and direction when it comes to maximizing opportunities in the healthcare field. I have personally recommended them in the past and would never hesitate to do again in the future.

Leland Tong

I appreciate the expertise DHP brings to the table. We have worked with them on contract negotiations and social media management and have seen positive results in both areas. They use rigorous data analysis as the basis for developing a solid negotiating approach.

Jason Canzano

When we were looking for ways to break down walls and expand our in network insurance contracts we turned to DHP for help. Their professionalism, experience, persistence and network access helped us gain key contracts that have opened up.

Get the reimbursement you deserve with revenue cycle management.

Whether you know it or not, your practice may not be getting every dollar you could be. Meet our team and find out how we ca n help you grow today.