Credentialingspectrum

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New Jersey2222 Morris Ave. 2nd Floor,Union,
NJ-07083 Phone [phone]Fax
877-600-9390 SalesPh (908)-834-1608Email
info_at_Clinicspectrum.com
Facebook.com/Clinicspectrum
_at_Clinicspectrum
YouTube.com/Clinicspectrum
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PROFILE MODULE
Complete Credentialing Profile Module for 
Management of Credentialing and Re-credentialing
activities and reminders.
CAQH Import Functionality.
Complete Cloud Based Documents Management for
Credentialing Documents.
Reminders on Expiration of Various Credentials
such as CDS, DEA, License, CAQH, Board
Certification, Mal Practice , Hospital Privileges.
Facility Credentialing Management.
Insurance Participation Agreements and/or
Contract Management.
Auto-fax, Auto-Email and Secure Messaging
Capability.
Extensive Report and/or Analytics Module.
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OVERVIEW
Credentialing is the process of reviewing and verifying information of a health care provider who is interested in participating with Various Insurances in their County. Review and verification includes Current professional license(s), Current Drug Enforcement Administration and Controlled Drug Substance Certificates, verification of education, post-graduate training, hospital staff privileges and levels of liability insurance.   The process begins with requesting Credentialing Application Kits from all the commercial and government health Insurances.  After submitting the signed applications we follow-up with the payers to retrieve the Provider or Group ID confirming that the doctor is participating with the insurance.  We also give bi-weekly status updates to the provider until an effective date of enrollment is determined so the provider can begin claim submission. 
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DASHBOARD ANALYTICS
Dashboard allows a pictorial overview of the
various credentialing tasks that are currently in
activity for the providers. The quick glance
screen, gives a brief overview of the status of
credentialing assignments, provider/insurance
count, the status of tasks set by the users, and
the credentialing task aging.
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DASHBOARD ANALYTICS
Users can click over any specific area within the
chart (s) to view a detailed analysis for the
allotted segment of the dashboard. 
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PROFILE IMPORT
CAQH import tool allows for seamless extraction
of the providers information from the CAQH pdf
to be transferred and auto populated within the
CredentialingSpectrum platform. Users can view
the data successfully imported (color green)
within the portal, as well as view additional
data which was not imported and needs manual
entry.
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AUTO POPULATING FORMS
The PDF forms display a library of the insurance
companies application forms for the providers.
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AUTO POPULATING FORMS
They are auto-filled for each provider for the
credentialing process, as they are lengthy and
time consuming to fill manually.
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CREDENTIALING MANAGEMENT
Management of Credentialing and re-credentialing
activities allows users to manage the
credentialing assignments by inputting the
contact details for the specific payers, various
ongoing time stamped remarks, creation date as
well as follow up date for a more streamlined
tracking process of the assignment.
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DOCUMENT MANAGEMENT
Document Management tool allows seamless cloud
based document uploads and management,
customizable template creations specific to
clients, providers and facilities as well as
individual expiry dates on the uploaded
documents. Document module contains the list of
features such as Create category, Upload
documents, Download documents and Document
viewer. Users may also import a customizable
document template for specific document
management. Uploaded fields will be displayed
into the grid shown in the attachment module.
Users can search by the title, category,
effective expiry date, description. This module
will help users search documents easily when
there are number of documents on file. 
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DOCUMENT MANAGEMENT
This module also provides other functionality
such as 1. Delete This will allow you to
delete files from the server, using a password
protected command. It will confirm before
deleting any document from the server and verify
by password login to complete the deletion. 2.
DownloadThis will allow you to download the
document from server. 3. Print This will allow
you to print out the document if it is in a
printable format. It will only print the document
as a PDF or an image. 4. Effective date/Expiry
dateHere, users can add or edit effective date
and expiry date for the document. This
functionality will manage and find the documents
due to expire. Credentialing spectrums service
provides the notification for upcoming expiring
documents. 5. Editable descriptionUsers can
add/edit description for documents and add short
notes for easy identification or highlighting
purposes.. 6. Email / FaxUsers can email or fax
document from the attachment module. This will
allow you users to send documents as an
attachment.
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REMINDERS
Reminders on various credentialing documents
allow the user to be notified in advance on which
documents are due to expire and need attention.
The auto reminder is set by the user and then
emailed to the designated email address on file
as set by the administrator. This tool is very
helpful for expiry management and helps to avoid
common oversight errors.
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NOTIFICATIONS
Auto-fax, Auto-email and Secure Messaging
Capability
Email/ Fax module will be used to send secure
emails or faxes for credentialing process. You
can go to Email/Fax module by clicking on the
envelope icon from home screen. The screen shows
the email/fax option at the top. Attach File(s)
link is given for attachment of a new document to
email. Import File(s) link is given to import
existing documents from the document management
module to email. The email templates allows for
auto creation of details already stored within
the database. By selecting the template, the body
of the email will be preloaded.
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TASK MANAGEMENT
Task Management option allows creating and
assigning tasks to users for proper management.
In the task management window, users can input
the subject, description, status, priority, start
date, due date and the specific assignee to the
task. Directly from this view, users can edit or
email the task specifics to a designated
recipient. Additionally, users can view the life
cycle on the individual task.
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EXTENSIVE REPORTS
The analytics module shows the clients
Credentialing Report based on the credentialing
detail, client summary or credentialing
expiration. The data holds all the compilation of
remarks and follow-up dates for all the
credentialing processes carried out for each
particular reporting analysis.
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MILESTONE MANAGEMENT
Everyone needs to know the status of
Credentialing taskswhats in progress and what
remains to be completed. This is achieved by
configuring key milestones and displaying
progress toward, or the completion of, key
milestones so users can view specific activities
within the credentialing process.
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MILESTONE MANAGEMENT
This enables users to quickly know whats
completed, needs to be done, is past due, and
what are the new tasks that are entering the
process.
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INSURANCE PARTICIPATION
Insurance Participation Agreements and/or
Contract Management is part of the document
management portal within the credentialing
platform. Users can import/upload specific named
documents in the portal and have easy access to
retrieve them at any given time. Users can
manually subtitle the category or import a
template previously created by the
user/administrator. The documents saved in this
portal can also be emailed, faxed or previewed
directly from the document management screen.
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CREDENTIALING MANAGEMENT
For a new client, Client Name, Client Type
and Status are compulsory fields that should be
entered to create a new client. This module is
used to maintain the clients details such as the
client name, business organization, short name,
client ID, tax ID, and other important remark
information.
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MESSAGING TEMPLATES
Users can create messaging templates for seamless
email notifications. This feature is useful for
the users to send emails with same content, to
various providers interchangeably.
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MESSAGING TEMPLATES
After creating the template users can edit or add
to the template and save the changes for later
use.
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CONTACT US
2222 Morris Ave. 2nd Floor,Union, NJ-07083
Website http//clinicspectrum.com/
Phone Number 908.834.1608
Email info_at_Clinicspectrum.com
Clinicspectrum is a healthcare services company
providing outsourcing and back office solutions
for medical billing companies, medical offices,
hospital billing departments, and hospital
medical records departments.
Copyright 2014. Clinicspectrum, All Rights
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