Medical Billing Services
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Emphasizing Services for Behavioral Health Professionals
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:
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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.
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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.
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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.
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References:
CAQH ProView Provider user Guide
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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.
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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.
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