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Credentialing Plan Could Mean One Less Headache for Doctors

MANAGED CARE July 1999. © MediMedia USA
News and Commentary

Credentialing Plan Could Mean One Less Headache for Doctors

MANAGED CARE July 1999. ©1999 MediMedia USA

Paperwork-hassled physicians might be thankful if a plan by Humana, Oxford, and United HealthCare is the start of a trend: a single credentialing application honored by all three companies.The three agreed to use a universal application, thus avoiding duplication for physicians who contract with more than one. All three outsource credentialing to the same company, Aperture.

It may be the biggest leap yet in an area of cooperation that has seen only baby steps. In Minnesota, several health plans use a joint application developed by the state's council of health plans. The AMA has a blanket credentialing process, but so far only one plan, Altius, in Utah, uses it.

Meetings

Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014