What’s the Difference Between Credentialing & Contracting?

Many providers use these terms interchangeably—but they are two distinct (and equally critical) processes:

• Credentialing: This is the payer’s process of verifying your license, education, experience, liability insurance, and other qualifications.
• Contracting: Once credentialed, the payer issues a participation agreement that determines your rates, billing terms, and network status.

If either step is skipped or done incorrectly, you won’t get paid—or worse, you may unknowingly work out-of-network for months.

We manage every step, track application status, follow up with payers, and troubleshoot delays so you don’t have to.

We also help ensure your contracts reflect your correct taxonomy codes, specialties, locations, and billing structure, so you don’t lose out on reimbursement due to setup errors.