Credentialing Physicians and Practitioners

SummaCare’s goal is to offer the highest quality healthcare to our members. This is accomplished, in part, by building a provider network of physician and practitioner professionals who meet SummaCare’s standards.

Through the process of "credentialing," all new physicians and practitioners in the network are reviewed to assure their professional status is in compliance with our standards. After a physician or practitioner has been credentialed, his or her professional status is re-verified every three years in a process called "recredentialing."

SummaCare also credentials health delivery organizations such as hospitals, skilled nursing facilities and free-standing surgery centers.