Resource Guide for Healthcare Professionals: Credentialing Providers and Information Verification

Abstract

Allergy & Asthma Specialists is a healthcare facility focused on providing treatment for individuals with allergies, asthma, or immunologic diseases. Credentialing and insurance verification is a complicated and timely process for healthcare facilities. The purpose of this project was to create a resource guide to assist current and future employees through the process of credentialing. Information was collected from 10 notable sources, detailing the significant steps during the credentialing process. The data indicated noteworthy steps of collecting provider information, updating a CAQH profile, verifying information, and completing status updates. This project resulted in the development of a resource guide to help employees through the complex process of credentialing.