Physician Credentialing Document Checklist: The Essentials

The application for physician credentialing is the first step in the process and should include all of the required information about the physician, including name, address, Social Security number, date of birth, etc. The curriculum vitae or resume should list all of the physician’s education and training as well as their professional experience. The educational history and transcripts should be sent directly from the schools attended. The current medical license, DEA registration, and board certification should be kept up to date and on file. The personal immunization and health records should be obtained from the physician’s office. The hospital privileges and hospital affiliations letter(s) should come from the hospital(s) where the physician has privileges. The letters of recommendation (both personal and professional) should be sent directly to the organization from the individuals writing the letters. The CAQH enrollment should be completed by the physician and kept on file. Evidence of continued malpractice insurance coverage should be provided on an annual basis.