Provider Recruitment

We undertake a thorough documentation process to validate the qualifications and track records of healthcare providers and facilities. This includes regular checks and verification of key credentials, such as valid licenses, DEA/CDS/CSR certificates, professional liability insurance, and work history.

Our credentialing criteria are robust, leveraging reliable sources to verify professional qualifications, including board certifications, educational background, and any history of professional liability. We meticulously screen against the Medicare Opt-Out listing and the National Practitioner Data Bank to ensure only the most reputable providers are part of our network.

Providers and facilities have the right to review and correct their information, ensuring accuracy and transparency. With a dedicated process for notifications of discrepancies and corrections, we maintain an open and communicative credentialing experience.

Our Credentialing Committee, comprised of a diverse group of healthcare providers and specialists, ensures that all applications are reviewed fairly and without discrimination. Our medical and clinical directors oversee a participative decision-making process that respects the expertise of the Credentialing Committee.

We uphold the confidentiality of all information obtained during the credentialing process, adhering to federal, state, and local laws, and regulatory standards. Our system controls are robust, ensuring the integrity of primary source verification and safeguarding against unauthorized access.

We are committed to continuous monitoring of our credentialing processes, ensuring they meet industry standards and remain aligned with government program compliance.