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Many payers require healthcare providers to have a CAQH ProView account to simplify and streamline the credentialing process including Medicare, Medicaid, Aetna, Anthem BCBS, Cigna, Humana, UHC, and many other commercial payers.
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Provider credentialing requirements for all commercial payers varies (even state-wise) so you are requested to consider this article just a reference to understand the basics of provider credentialing.
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Join expert Cati Harris, CBCS, for an information-packed webinar on the provider credentialing process. Learn the proven method with payer specifics and get a detailed, comprehensive step-by-step guide. Discover how to set up and maintain CAQH, PECOS, NPPES, and Identity & Management, as well as learn about credentialing documentation requirements, verification, and validation of documents.
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This webinar features a guide to provider credentialing, maintenance of provider enrollments, and completing provider revalidations. Also includes multiple printable and customizable forms for payer/application cover letters, provider documentation requirements, Verification of Documentation, CV requirements, application submission, payer linkage, provider revalidation, employment history, and much more!
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This webinar is tailored for individuals who are new to credentialing, those establishing a credentialing program, or those looking to refresh their credentialing skill set. The course covers a wide range of topics related to provider enrollment, including provider credential verification, setup and maintenance of CAQH/NPPES/PECOS/I&A, CV verification, application preparation, review, and submission, identification of red flags, linking providers to existing contracts, provider re-verification, and maintaining provider files.
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