Credentialing is a process of becoming approved by insurance companies as a participating provider in the payers' networks. The process of applying is complex, intensely detailed, and time sensitive. However, it is a necessary step in ensuring that providers offer to their patients a wide range of insurance plans with whom they participate.
The Complete Solution
- End-to-end services, from application gathering to primary source verification to ongoing sanctions monitoring
- Leverages our human capital and systems to achieve a seamless experience for your contracted providers
- Account manager assigned as primary point of contact, eliminating the hassle of multiple touch points
- Primary Source Verification (PSV) is tedious and time-consuming. Let us take that on to make your internal staff more efficient
- Delegate re-credentialing and ongoing monitoring to us
- Any combination of services we offer can be customized into a solution right for you
- Surge support from our experienced credentialing specialists during your busiest contacting periods, before open enrollment or with large groups
- Special projects and consulting
Our services are structured to be compliant with NCQA credentialing standards. VantagePoint is fully Certified by NCQA for 11 out of 11 verification services and meets NCQA’s credentialing standards for health plans. Achieving CVO certification from NCQA demonstrates that VantagePoint has the systems, process and personnel in place to thoroughly and accurately verify providers' credentials and help health plan clients meet their accreditation goals.
Recent credentialing engagements illustrating VantagePoint’s experience and effectiveness include:
- Managed enrollments, re-enrollments and primary source verification for commercial and governmental payers within a health system of over 3,000 providers.
- Created a compliant credentialing and enrollment process, including facilitation of a credentialing committee for a national healthcare chain embarking on delegated payer agreements.
- Assisted an IPO (Independent Physician Organization) with the implementation of a credentialing system, then established and trained staff on policies and procedures that allowed the organization to become an NCQA-certified CVO (Credentials Verification Organization).
Ready to take the next step? Let us know how we can help your organization. Contact Us today.