Client Resources
Not sure where to start on your credentialing journey? Here are just a few resources our team uses in tandem working closely with our clients.
Not sure where to start on your credentialing journey? Here are just a few resources our team uses in tandem working closely with our clients.
A National Provider Identifier is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services.
Via NPI Registry: “A National Provider Identifier is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services. The NPI (National Provider Identifier) Registry enables you to search for providers in the NPPES (National Plan and Provider Enumeration System) system.”
PECOS is the online Medicare enrollment management system which allows you to:
PECOS applications are processed more quickly than paper applications. Because PECOS is paperless, you’re no longer required to submit anything by mail. Additionally, PECOS is tailored to ensure that you only supply information that’s relevant to your application.
The Centers for Medicare and Medicaid Services (CMS) provides health coverage to more than 100 million people through Medicare, Medicaid, the Children’s Health Insurance Program, and the Health Insurance Marketplace.
Via The Centers for Medicare and Medicaid Services (CMS): “The Centers for Medicare & Medicaid Services (CMS), is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children’s Health Insurance Program (CHIP), and health insurance portability standards. In addition to these programs, CMS has other responsibilities (such as setting HIPAA standards or accreditation standards for facilities).”
CAQH ProView is an online provider data-collection solution. It streamlines provider data collection by using a standard electronic form that meets the needs of nearly every health plan, hospital and other healthcare organization.
CAQH ProView enables physicians and other healthcare professionals in all 50 states and the District of Columbia to enter information free-of-charge into a secure central database and authorize healthcare organizations to access that information. CAQH ProView eliminates redundant paperwork and reduces administrative burden.
Most healthcare providers will need a CAQH account so that insurance companies may access their credentials during the verification process.
