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Credentialing

Credentialing a practitioner with an Insurance carrier is a very time consuming, laborious process, that needs high degree of professional astuteness and attention to details. Following exhaustive list of items needs to be checked and submitted to the Insurance carrier before the credentialing is processed. A minor mistake could lead to multiple iterations, and stressful reconciliation process.

Our professionals are well trained on the process and they are capable of completing the process within the best possible duration, Industry could expect. This is accomplished through in-house Credentialing App created by our experts.

Name (exactly as it appears on license)
Previous /other names
Gender
Ethnicity
Mailing Address
Email Address
Daytime Phone Number
Citizenship Information
Recent Photograph
CAQH Password
Copy of Current State Licenses
Copy of DEA
Copy of BNDD
Current CV
Date of Birth
Social Security Number
Practice Address
Practice Tax ID Number
Practice Phone Number
Primary Practice Contact
Provider NPI Number
Education (including: month and year of attendance, institution name and address, program director name, and degrees attained)
All additional training (month and year of attendance, name and address for each institution, program director name, certification or degrees attained)
Past, present, and pending hospital affiliations
Practice Specialty
Work History (10 years since completion of training)
Professional Certificates (license numbers: include all state licenses current and past)
Professional Liability Insurance (for past 10 years: agency, address, policy number, and group name)
Current Liability Insurance (copy of current insurance with name, coverage amount, expiration date/if name not on certificate, attach list of providers covered by policy
Malpractice Claims History
Hospital Privileges
CME Documents
Peer References (same degree and specialty notes with contact information)