Hi Michele,
Thank you for the previous response. The credentialing process for clinical laboratories does not seem to be as straightforward as for individual providers. When I speak with payers, they often do not know which applications we should be completing as an independent lab. As a lab, I believe we cannot complete credentialing applications via CAQH (I saw this on another post on this site) - is this correct? Do you have any recommendations regarding how I can approach payers for credentialing requirements for a lab?
Also, is credentialing only required if we want to be in-network with the payer or is credentialing required regardless. Have you heard of payers coming to do inspections at the lab site before approving the application? I've heard Medicare will do this, but I'm unsure about other commercial payers.
Thanks,
Nancy