Credentialing
Credentialing is a process whereby hospitals, health insurance companies and health delivery systems (HMOs) evaluate physicians with whom they contract, to confirm that they are adequately trained, certified and / or licensed to provide care.A typical healthcare provider contracts with 10 to 20 healthcare organizations, each of which requires the provider to complete an extensive credentialing application.
One of the most integral parts of the credentialing process is the collection and verification of vital data regarding the healthcare provider's education, training, experience, practice history, location, and disclosure of any issues impacting their ability to provide care.
After submitting the application, carriers often take as much as 3-4 months to review documents and make a determination, even if everything is in order. If there are errors, missing information or a question about submitted documentation, several more weeks or even months can be added to the process.
Insurance / Clearinghouse Credentialing
Let NVMM take over this very time-consuming process. We have a staff specialized in medical / healthcare insurance enrollment & credentialing.Our singular focus is to eliminate errors, foresee potential obstacles, and avoid delays getting you on the insurance panel of a participating provider, and most of all keeping you current. We prepare each form with meticulous attention, and submit the proper paperwork, adhering to each insurance company’s application processing criteria.
Our Data Source enables providers to submit one standard credentialing application to satisfy the credentialing requirements of most insurance companies.
We guarantee the confidentiality and security of the provider information. The FSPL Data Source is designed to be compliant with rules and regulations related to the privacy of individually identifiable health information.
