Secure Provider Credentials with Confidence
Verify provider credentials with documented workflows built for regulated care environments through comprehensive credentialing that validates licenses, education, training, and sanctions status before patient care begins.
Start Healthcare Credentialing
WHY IT'S BETTER
Credentialing validates qualifications and competency for patient care roles through primary source verification of licenses, education, training, and sanctions status that ensures only qualified providers deliver care.
Licenses are verified directly with issuing state medical boards, nursing boards, and professional licensing authorities that maintain authoritative credential records.
Degrees, residency training, and certifications are verified through direct contact with medical schools, residency programs, and specialty certification boards.
OIG exclusions, state Medicaid sanctions, DEA registrations, and licensing board actions are verified to ensure providers are eligible for federal program participation.
Automated checks accelerate verification for standard credentials while manual review applies human judgment to complex cases requiring investigation.
A Structured Healthcare Credentialing Workflow
Verify provider credentials from submission to committee review in four steps:
Submit Provider Profile and Consent
Provider details and required consent are submitted including license numbers, education history, training programs, and employment timeline.
Automated License and Credential Checks
Licensing boards, certification registries, and education institutions are queried to verify credentials through primary source contact and database verification.
Manual Verification for Complex Records
Records requiring clarification are verified through direct institutional contact with manual follow up resolving discrepancies and incomplete documentation.
Receive Standardized Credentialing Report
Reports summarize verification outcomes, license status, education confirmation, and sanction screening results in formats designed for committee review.
Stronger Credentialing Controls with Compliance for Good™
Credentialing workflows verify provider credentials through primary source validation, sanctions screening, and documented processes that meet regulatory standards.
Trust & Compliance
Documented verification steps, standardized reporting, and secure handling support compliant credentialing programs. Files remain audit ready for committee review and regulatory inspections.
Healthcare credentialing verifies medical licenses, DEA registrations, board certifications, malpractice insurance, education credentials, training completion, and sanctions status before providers deliver patient care. Credentialing confirms providers are legally qualified and competency-verified for their clinical roles and specialties. GCheck’s credentialing process validates every credential element that determines legal practice authority and clinical competence, ensuring only properly qualified providers reach patient care responsibilities.
Credentialing is important because unverified credentials allow unqualified, incompetent, or sanctioned providers to deliver care, creating patient safety incidents, malpractice liability, and regulatory violations. Inadequate credentialing enables license fraud, diploma mill graduates, and excluded providers to access patients before problems are discovered. GCheck’s thorough credentialing catches the credential fraud and qualification gaps that create the patient harm, legal liability, and regulatory consequences that inadequate verification allows to reach clinical practice.
Healthcare credentialing typically requires 30-90 days depending on provider history complexity, response rates from verification sources, and completeness of submitted documentation. Primary source verification from multiple state boards, institutions, and certification bodies takes time that cannot be compressed beyond source response capabilities. GCheck provides realistic timing expectations and proactive status updates that enable accurate onboarding planning, preventing the unrealistic expectations that create provider frustration when credentialing takes longer than anticipated.
Yes, international medical degrees, specialty certifications, and non-US training can be verified through established credential evaluation services, international registrar networks, and specialty board contact. International verification requires additional time and may involve language translation, credential equivalency determination, and specialized verification protocols. GCheck’s international capability ensures foreign-trained providers receive thorough credential verification, preventing the gaps that occur when international credentials are deemed too difficult to verify and are accepted without proper validation.
Yes, healthcare credentialing should include OIG exclusion screening, SAM debarment checks, and state Medicaid sanction reviews that identify providers disqualified from federal program participation. Hiring excluded providers creates immediate Medicare and Medicaid billing violations for every service rendered. GCheck’s sanction screening prevents excluded providers from patient care, protecting your organization from the repayment demands, civil monetary penalties, and program exclusion that hiring sanctioned providers triggers.
Yes, healthcare credentialing integrates with HRIS, medical staff systems, and credentialing software through API connections that eliminate duplicate data entry and manual file assembly. Integration maintains complete audit trails linking credentialing to provider files and committee decisions. GCheck’s seamless integration ensures credentialing is managed within your existing systems while preserving the complete documentation that medical staff committees and regulatory surveys require.
FACIS® screening is recommended when eligibility decisions require broader healthcare sanctions coverage. It complements credential verification for regulated programs.
Credentialing results are delivered in standardized reports that summarize verification outcomes, license status, education confirmation, and sanction screening results in formats designed for medical staff committee review. Complete documentation including primary source verification certificates and board correspondence supports audit requirements. GCheck’s organized reports enable efficient committee review while maintaining the complete audit files that regulatory surveys and accreditation inspections demand without additional compilation effort.
Support safe compliant provider onboarding with comprehensive healthcare credentialing.
Verify credentials with confidence before patient care begins.