Credentialing

The essential credentialing process and its ongoing maintenance is meticulously curated by a team of knowledgeable, experienced professionals dedicated specifically to our clients’ current and future providers.   SHM’s team handles provider information gathering including: board certifications, state licenses, DEA, NPI, and, CAQH.

Our detail-oriented team establishes providers in the SHM software system and completes and processes carrier applications.  We continually update CAQH, follow up on all applications, obtain, update and manage malpractice coverage, and track expiration dates and practice locations.

We also:

  • Facilitate providers’ hospital and surgery center privilege applications and re-appointments;
  • Track and maintain Medicare, Medicaid and DME;
  • Oversee providers’ accurate inclusion in carriers’ in-network directories.