Credentialing in plain English

Hospital review of provider qualifications.

Where this term may appear

Hospital records and litigation concerning how a facility evaluated a clinician’s qualifications or privileges.

What to verify

Identify the clinical setting, specialty, records, and decision point connected to credentialing so an appropriately qualified reviewer can evaluate the context.

Why context matters

Credentialing may be medically important without deciding whether the applicable legal standard was breached or whether the event caused compensable injury.

Use official and primary sources for current medical, licensing, court, and state-law information.