An Automated credentialing activities management tool

Post on 12-Jun-2015

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description

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.

Transcript of An Automated credentialing activities management tool

New Jersey2222 Morris Ave. 2nd Floor,

Union, NJ-07083

Website :http://www.clinicspectrum.com/credentialingspectrum.html

Email : Vishal@Clinicspectrum.com

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