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Credentialing

Get Approved Faster. Stay Compliant. Focus on Patient Care.

Overview

Verifying qualifications for regulatory compliance and reimbursement.

Credentialing is the process of verifying a healthcare provider’s qualifications—including education, licensure, training, experience, and professional background—to ensure they meet the standards required by insurance companies, state agencies, and healthcare institutions. This process is essential for patient safety, regulatory compliance, and eligibility for insurance reimbursement.

At BDL, we understand how complex and time-consuming credentialing can be. Our team manages the full credentialing and enrollment process for providers, ensuring accuracy, compliance, and timely approvals so you can focus on delivering quality care.

Credentialing Compliance
Compliance & Safety

Why Credentialing Matters

Credentialing plays a critical role in both patient safety and the financial success of your practice. It ensures:

  • Providers meet state and payer requirements
  • Patients receive care from qualified professionals
  • Practices remain eligible for insurance reimbursement
  • Full compliance with NCQA and payer guidelines
  • Reduced risk of denials due to credentialing errors

Proper credentialing is directly linked to lower rates of medical errors and increased patient trust.

Our Services

Comprehensive Support

BDL handles every step of the process—from initial applications to renewals and payer communication.

01

Initial Credentialing

Complete management of first-time applications for new providers and practices.

02

Re-Credentialing

Systematic handling of revalidation and renewal requirements to maintain active status.

03

Credentialing Verification

Detailed primary source verification through NCQA-compliant databases.

04

Provider Enrollment

Enrollment support for all major commercial and government (Medicare/Medicaid) plans.

Requirements

Managed Documentation

Credentialing requirements vary by state and payer. BDL help you gather and maintain all required documentation.

Education & training history
State license(s)
DEA license
Board certification
Hospital affiliations
Malpractice certificates
Sanctions/background checks
Tax documentation
CAQH Support

CAQH Credentialing Support

Maintaining your CAQH profile is essential for credentialing with most insurance companies. BDL assists with:

Creating and updating CAQH profiles
Uploading and verifying documents
Ensuring attestation completion
Resolving linked credentialing issues

Focus on Patient Care

BDL manages the entire process so you can focus on delivering quality patient care. From initial credentialing to revalidation, our specialists ensure you stay compliant and eligible.

Get Credentialed