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Credentialing is the process of review and verification of the information of a health care provider who is interested in participating with Various Insurances in their County.
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New Jersey2222 Morris Ave. 2nd Floor,
Union, NJ-07083
Website :http://www.clinicspectrum.com/credentialingspectrum.html
Email : [email protected]
Fax: 877-600-9390
Phone : 908-834-1608
AN AUTOMATED CREDENTIALING ACTIVITIES MANAGEMENT TOOL(PATENT PENDING) Dashboard CAQH Import for creating physician’s profile. Auto populating insurance forms. Management of Credentialing and Re-credentialing activities and
reminders. 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. Messaging Templates Task Management Extensive Report and/or analytics Module.
CREDENTIALING ACTIVITIES AT A GLANCE Dashboard pictorially represents the
credentialing activities for easy management.
EASE OF MANAGING PROVIDER DATA Allows importing Providers data using their
CAQH (Council for Affordable Quality Healthcare) Profile.
AUTO POPULATING INSURANCE FORMS Provides library of mapped fillable pdf forms
and allows adding and mapping new fillable pdf forms.
MANAGEMENT OF CREDENTIALING ACTIVITIES Allows to manage credentialing and re-
credentialing activities and set reminders.
CLOUD BASED DOCUMENTS MANAGEMENT Allows to manage documents in the cloud for
credentialing documents.
REMINDERS ON EXPIRATION OF CREDENTIALS
Reminders on Expiration of various credentials such as CDS, DEA, License, CAQH, Board Certification, Mal Practice , Hospital Privileges.
FACILITY CREDENTIALING MANAGEMENT
AGREEMENTS AND/OR CONTRACT MANAGEMENT
Insurance Participation Agreements and/or Contract Management
MESSAGING CAPABILITY Auto-fax, Auto-email and Secure Messaging
Capability
MANAGING MESSAGING TEMPLATES Allows to configure messaging templates and
use pre configured templates while messaging.
TASK MANAGEMENT Allows creating and assigning tasks to users
for proper management.
REPORTING AND ANALYTICS Extensive Report and/or analytics Module
