A rejected claim is one that contains one or many errors found before the claim is processed.
Denied claims, on the other hand, are claims that the payer has processed and deemed un-payable.
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The credentialing process is a convoluted and time-consuming endeavor that leaves many providers feeling stuck and frustrated. However, understanding the key differences between medical credentialing and enrollment can alleviate some of the confusion and pave the way to becoming an in-network provider. Let’s break it down.
In short, medical credentialing is the process of verifying a provider’s qua