We obtain a practitioner's name, gender, phone number and office location on the credentialing application and validate it every three years as part of the re-credentialing process.
Board certifications, specialty, hospital affiliations, medical group affiliations and languages spoken are verified by the credentialing department through an every three year process. Practitioner name, office location, acceptance of new patients and specialty are verified annually via an audit process conducted by us. Updates to the provider directory are completed within 30 calendar days of receiving new information from the provider.
Facility name, location phone number and accreditation are obtained and is verified by the credentialing department every three years upon initial credentialing and re-credentialing as part of the credentialing process. Updates to the information is completed within 30 calendar days of receiving new information from the facility.
Facility quality data information is available and maintained by CMS. For more info, see: https://www.medicare.gov/hospitalcompare/search.html and www.wicheckpoint.org