Credentialing & Contracting Demystified: Insider Guidance for Providers

This episode of The Claim Game, "Accessing the Board," features an insightful interview with Cathy Gilbert, an expert with over 30 years of experience in the healthcare industry, including leadership roles at major national payers like Magellan and Beacon Health Options. Cathy shares her unique perspective from the payer's side of the table, demystifying the complex and often frustrating world of credentialing, contracting, and fee negotiations for private practice owners. She explains that while the process can seem like a "black hole," there are rules, and understanding them is key.