New-Hire Provider Enrollment
Appointment and Reappointment of Hospital Privileges
NCQA compliant Direct, Delegated and/or Facility credentialing & recredentialing
Collect complete credentialing applications and authorizations from providers
Verify Primary Source Verification in compliance with NCQA and Joint Commission standards
Medicare and Medicaid enrollment/revalidation
Provide a consolidated report for Committee Review
Complete, process and track applications for provider credentialing with health plans and insurance
Ongoing Management and Recredentialing
Sanction alerts and monitoring
CAQH and NPI registration and management
Document Maintenance