
FOR IMMEDIATE RELEASE
VerifPoint
announces a New Health Plan data collection option utilizing the CAQH Universal
Credentialing DataSource
Laguna Hills, CA - 05/18/2006 –
VerifPoint, a nationally certified credentialing verification organization
(CVO) for healthcare practitioners, today announced that it has established a
methodology and process to receive data collection material from the “Universal
Credentialing Data Source” (UCD) sponsored by the non-profit healthcare trade
association - the Coalition for Affordable Quality Healthcare
(CAQH)*.
VerifPoint can collect UCD
practitioner data on behalf of, and with access permission from, our health
plan clients. VerifPoint will then
perform primary source credentialing (i.e., Schools, State Licensing agencies,
Specialty Boards, Hospitals, DEA, etc), and deliver the same electronic
credential reports and services without disrupting VerifPoint clients’ current
credentialing process.
Data collection typically involves (for health plans, VerifPoint and other CVO’s), the mailing, faxing, and telephone follow-up of practitioner credentialing applications. Once the information is collected, the data must be both data entered for electronic use and all of the practitioner’s credentialing documents scanned to accompany the provider’s electronic file.
According to CAQH, over 315,000 unique practitioners
have already registered and are using the system that is supported by among
others, the American Medical Association, American College of Physicians, and
the Medical Group Management Association.
A
practitioner belonging to a provider network panel (for a healthcare company
that has joined CAQH as a participating member) is invited to participate in
the UCD for collection and housing of his professional credentials at no
charge. The practitioner can complete and periodically (i.e., three times a
year) update his or her pertinent information online. No verifications are performed by CAQH as this data is practitioner
self-reported. Verification is still the job of the health plan or their
contracted CVO.
Richard B. Ryan, founder, and President of
VerifPoint has this statement: “We are very excited about the opportunity to
improve our electronically efficient practitioner credentialing products, with
the industry’s non-profit CAQH practitioner’s repository for non-verified
provider data. VerifPoint can utilize this single access point to the
practitioner, and with our recent marriage with Manhattan Data, deliver an even
more efficient healthcare payer and administrator solution that separates
VerifPoint from its competition.”
VerifPoint will still maintain its
internal data collections process for those health plans that do not wish to
participate in using the UCD at no extra charge. Whether an Insurance Carrier,
Health Maintenance Organization (HMO), Hospital, Preferred Provider
Organization (PPO), Independent Provider Association (IPA) or Managed Care
Organization, VerifPoint now offers a complete array of professional
credentials verification services, and every facet of back office
administration for ALL Healthcare practitioner types.
For more information concerning CAQH, plan membership, and benefits, please visit www.caqh.org.
Jeff Nakamura
Manager, Company Communications
About VerifPoint Services
VerifPoint Services is a credentialing verification
organization that offers nationwide medical, dental, vision and other
healthcare credentialing related services. The company currently credentials in
all 50 states and all healthcare disciplines.
VerifPoint Services is fully
certified by the National Committee for Quality Assurance (NCQA) for all
recognized elements of credentials verification. The National Committee for Quality Assurance is an independent,
non-profit organization that certifies credentials verification organizations,
and accredits managed care organizations.
* CAQH, an
unprecedented not-for-profit alliance of health plans, networks and trade
associations, is a catalyst for industry collaboration on initiatives that
simplify and streamline healthcare administration. CAQH solutions help
promote quality interactions between plans, providers and other stakeholders,
reduce costs and frustrations associated with healthcare administration,
facilitate administrative healthcare information exchange and encourage
administrative and clinical data integration.