Credentialing Claims —
A type of claim brought by a physician in which it is alleged that he or she
has been wrongly denied staff privileges (i.e., the right to admit and treat
patients) within a hospital or allied healthcare facility.
The refusal to grant admitting privileges by credentialing committees is a
frequent source of claims brought against both the hospitals and the individual
physicians who serve on such committees by physicians who have been refused
admitting privileges. Both physicians professional liability policies and
hospital professional liability policy forms explicitly cover what are known as
"credentialing claims."