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They pop up in background checks, on enrollment applications, in job time frames, as malpractice claims. They’re red flags. Credentialing professionals are red-flag hunters, poring over large amounts of data they quickly gather, review, and process to investigate any discrepancies.

Most provider applications don’t raise red flags, but it’s the MSP’s role to delve into any questionable items found by using tech or just the good old phone as tools.

For new credentialing professionals and veterans alike, it’s valuable to be reminded of areas where providers may list information that should stop you in your tracks when conducting verifications and credentialing.

Click here for common credentialing items with accompanying sample red flags that could become apparent when conducting verifications and credentialing.