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Getting Started with Credentialing

Credentialing is the process of obtaining, verifying, and assessing the qualifications of a practitioner to provide care or services in or for a health care organization. Credentials are documented evidence of licensure, education, training, experience, or other qualifications.

Steps in getting credentialed:

1. Sign-up with Identity & Access Management System (I&A)

    Getting registered with I&A is the first step in credentialing if one hasn't done so. Your user ID and password will be used            and inked to manage your NPI.

    References:

    I&A Quick Reference Guide

    I&A Frequently Asked Questions

2. Get your National Provider Identifier Number (NPI)

    An NPI is a unique identification number for covered health care providers, created to improve the efficiency and                    effectiveness of electronic transmission of health information.

    References:

    Application Help

    NPI Final Rule

    NPI Frequently Asked Questions

3. Complete CAQH Proview Application

    CAQH ProView is the healthcare industry’s premier resource for self-reporting professional and practice information to health        plans and other healthcare organizations. 

    References:

    CAQH ProView Provider user Guide

4. Register with ProviderSource/OneHealthPort

    ProviderSource is a service to help Washington healthcare providers manage provider data used for credentialing and              privileging. With ProviderSource, your practice enters data once and attests to it multiple times during the year. The service        prompts you to keep your information current.

    An Administrators account is required to set-up your account. If you are working with a healthcare facility, contact your              administrator to start your set-up process.

    References:

    About ProviderSource

    OneHealthPort Frequently Ask Questions

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