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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.

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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
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium 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
6th Semi-Annual Diagnostic Coverage and Reimbursement Conference Boston December 4–5, 2014
Customer Analytics & Engagement in Health Insurance Chicago December 4–5, 2014
Pharmaceutical and Biotech Clinical Quality Assurance Conference Alexandria, VA December 4–5, 2014
9th Semi-Annual Medical Device Coverage and Reimbursement Conference San Diego December 5, 2014
8th Annual Medical Device Clinical Trials Conference Chicago December 8–9, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015