Industry Voices—Hospital credentialing systems are no longer enough for payers

Some payer-specific credentialing systems are available, but they are typically homegrown and therefore not adaptable, or they lack true enterprisewide capabilities. As a result, most insurance companies use hospital credentialing systems that come with their own set of problems. Because hospital credentialing systems are built for the specific needs of a hospital, they lack the data tracking and automation capabilities payers need to be successful and compliant.
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