Credentialing is our formal process of adding providers to our network, and ensuring these providers give our members quality care consistent with recognized managed care organization industry standards. We credential professionally competent providers and facilities who continually meet our qualifications, standards, and requirements.
Commercial Provider Credentialing
Includes specific requirements for MDs, DOs, DPMs, and oral surgeons as well as behavioral health and Board Certified Behavior Analyst (BCBA®) providers
Tufts Health Public Plans Provider and Facility Credentialing
Includes how it works, how long it takes, and your right to appeal