Delegated Credentialing

ProCred has the expertise, knowledge, and processes to facilitate all delegated credentialing requirements. Our team is trained in the processes for obtaining primary and NCQA-approved source (secondary source) verification and performs to NCQA standards.

 

As part of our internal compliance program, we conduct continual audits to verify accuracy, timeliness, and security of all documentation. We work in coordination with the clients credentialing department to securely provide them with the necessary validations in the time frames outlined by NCQA and as needed for their credentialing committee.

 

In delegated credentialing arrangements, we work with the delegated carriers to provide them with all essential information.  As required in delegated agreements, ProCred’s policies and procedures for primary and secondary source verification are available for review and audit.

 

 

 

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