SERVICES

Healthplex CVO completes each element in accordance with NCQA standards.
The following list of services can be tailored to meet the specific needs of
our client:

               VERIFICATION ELEMENTS
  • License to Practice
  • Work History
  • DEA/CDS
  • Education and Training Board Certification
  • Malpractice Coverage
  • Malpractice History
  • Application Processing
  • NPDB Query
  • Sanctions Against Licensure
  • Medicare/Medicaid Sanctions
  • Ongoing Monitoring
               ADDITIONAL VERIFICATIONS
  • Clinical Privileges
  • Peer Reference Reviews
  • EPLS Sanction Check
  • Medicare Opt-Out List
               STANDARD REPORTS
  • Individual Provider Report
  • Monthly Credentialing Report
  • Bi-Annual Summary Report
  • Sanctions/Action Report
      ** Customized reports can be developed at the client’s request at an additional           nominal fee
 
               ADDITIONAL SERVICES
  • Pre-populated application
  • License status changes
  • DEA status changes
  • Malpractice Insurance status changes
  • Provider application processing by mail or fax
  • Toll-free number for provider questions