Credentialing

All physicians must be credentialed with a payer or hospital before billing can commence. Standard credentialing requirements can include, but are not limited to: a re-credentialing report update regarding malpractice cases, current Drug Enforcement Administration (DEA) certificate release forms, current state medical licenses, physician practice information, malpractice coverage summary, National Practitioner Data Bank (NPDB) report, board eligibility verification, specialty verification, board certification verification and current state controlled substance certification. Stanford Medical Billing Services, Inc. offers a service to ensure that all clients are properly credentialed with payers and hospitals. Once credentialed, our staff completes routine checks to ensure the physician remains credentialed by the payer.