Credentialing Services for Health Plans
Credentialing and contracting are separate processes that must be completed before new providers can begin offering services to health plan members. A provider may be joining your network primarily due to pressure from their patients. The lag time inherent in the onboarding process can cause friction. In-house health plan credentialing departments are under pressure to complete their work quickly, particularly when new groups decide to join right before open enrollment periods.
VantagePoint can help alleviate the pressure by partnering with your network contracting and internal credentialing teams. We offer complete, partial, and intermittent 'surge' NCQA-certified credentialing and primary source verification solutions.
VantagePoint HealthCare Advisors is fully Certified by NCQA for 10 out of 10 verification services and meets NCQA’s credentialing standards for health plans. Achieving CVO certification from NCQA demonstrates that VantagePoint has the systems, process and personnel in place to thoroughly and accurately verify providers' credentials and help health plan clients meet their accreditation goals.