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Credentialing Claims

Credentialing Claims

Definition

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."

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