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Industry Voices—Hospital credentialing systems are no longer enough for payers

Feb 03, 2019 - FierceHealthcare

Built on the theory that some things just don't fit, the square-peg-in-a-round-hole analogy can easily be used to describe the process in which insurance payers manage provider credentialing.

Most insurance payers rely on hospital credentialing platforms to do payer-specific credentialing. And while there is a lot of overlap between hospital and payer credentialing activities, particularly with regard to primary source verification, hospital credentialing systems are the square peg.