Credentialing vs. Enrollment vs. contracting
                     Credentialing vs. Enrollment vs. 
Contracting
What's the Difference?
Aspect Credentialing Enrollment Contracting
Agrees on payment 
What It Is Veries qualications Registers with payers
terms
Goal Conrm the provider is Enable billing Set reimbursement & 
eligible network terms
Includes License, education, and NPI, TIN, CAQH, Rate negotiation, 
background check applications contract signing
When Done First step After credentialing, Before billing starts
per payer
Credentialing team Enrollment or Legal or payer 
Managed By or vendor billing team relations
Risks If Delayed Blocks enrollment Denials, payment delays Low or no payment
Frequency Every 23 years One-time per payer As per contract terms
How They Work Together?
Credentialing Enrollment Contracting 
registers you ensures you 
conrms your to bill specic get paid under
qualications  payers  set terms
Why It Matters?
Delays in any step can lead to 
claim denials and lost revenue
Incorrect setup can 
cause compliance 
risks and payment 
issues
Managed well, these 
processes ensure steady 
cash ow and patient 
access
24/7 Medical Billing Services handles it all:
Credentialing 
& Enrollment
Accurate 
Payer Setup
Expert Contract 
Negotiation
Renewal 
Tracking
+1 888-502-0537
[email protected] 
[email protected]
www.247medicalbillingservices.com