NIGP 94871: Physician Credentialing Services

NIGP 94871 Physician Credentialing Services, an Item code, covers technology platforms, professional staffing, and administrative services that state and local health systems use to verify provider qualifications, manage enrollment with payers, track physician time and invoicing, and maintain compliance with credentialing standards and regulatory requirements. Recent state and local solicitations show health systems procuring end-to-end credentialing platforms with data migration and ongoing operational support; temporary health professional staffing across ancillary clinical specialties; provider time-tracking and approval workflows; occupational wellness examinations; and medical director services for EMS systems. Issuing bodies include county health systems and hospital districts, county emergency services departments, and state-certified community behavioral health clinics. The scope reflects a mix of permanent-service procurement (credentialing platforms, medical director contracts) and temporary or on-call staffing pools, with particular emphasis on compliance automation and revenue-cycle support for health systems managing large, diverse provider networks.

Solicitation activity is concentrated in California, Texas, and Florida. Representative recent opportunities include University Medical Center of El Paso's sealed RFP for provider credentialing, recredentialing, payer enrollment, and technology platform services due September 16, 2026; the County of Santa Clara Health System's non-exclusive qualified-vendor pool for temporary health professional staffing across 13 ancillary clinical categories due October 7, 2026; the County of San Mateo's RFP for a web-based provider time-tracking, invoicing, and approval platform with a five-year agreement term and April 1, 2026 proposal deadline; Hillsborough County Board of County Commissioners' competitive sealed bid for comprehensive occupational wellness examinations for the Fire Rescue Department at an estimated $2.48 million over three years, with bids due July 21, 2026; Seminole County's RFP for a Medical Director for its Emergency Medical Services System due August 5, 2026; and Gulf Coast Center's RFP for credentialing and enrollment services for behavioral health providers, due June 24, 2026, with HUB or HUB-qualified status eligible for preference scoring. Contracts typically require HIPAA compliance, professional liability and general liability insurance at $1 million or higher, and specialized expertise in credentialing workflows or regulatory standards governing the health system's service population.