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CredentialsOnLine provides verification services worldwide for the healthcare industry through our Internet-based service, state-of-the-art technology and certified credentialing verification specialists — improving efficiency, accelerating verification timeframes and reducing costs for your organization.

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Through outsourcing verification, your organization can reduce paperwork overload and credentialing timeframes. Industry statistics indicate that the cost to process an application range from $200 - $400, depending on the information required. This includes staff time, computer expenses, postage, paper, filing and fees charged by various agencies. Through our Internet-based credentialing software, the processing time can easily be reduced by 10 to 14 days.

 

CredentialsOnLine provides complete verification and monitoring services so you can focus on your core business. CredentialsOnLine provides:

  • Credentials verification for over 20 provider types including physicians, dentists, nurses, and independent and dependent practitioners
  • Initial application and recredentialing cycle management
  • Provider profiles, reports, letters and tailored applications
  • Secure online provider status 7/24
  • Customizable packages
  • Import and export of data
  • Area to store scanned credentialing documents
  • Audit trails for complete documentation of processes

Service with Care
The CredentialsOnLine staff combined has over 45-years experience in credentialing. Our staff consists of customer service professionals, quality assurance specialists, expeditors and data entry specialists. Their in-depth knowledge provides our clients with accurate, confidential and up-to-date provider profiles. Our team carefully reviews each provider file for completeness and accuracy to comply with JCAHO, NCQA and URAC standards.

Throughout the credentialing process, our customer service representatives are available for personalized and ongoing support online or by telephone.

CredentialsOnLine is fully certified by NCQA for 10 out of 10 verification services:

  • License to practice
  • DEA/CDS Certification
  • Board Certification/Residency Completion/Medical School Graduation
  • Hospital Privileges
  • Malpractice Insurance
  • Malpractice Claims History
  • Application Processing
  • National Practitioner Data Bank (NPDB)
  • Sanctions Against Licensure
  • Medical/ Medicaid Sanction
  • Ongoing Monitoring of Sanctions and Complaints


Maintaining Excellence
CredentialsOnLine has full certification from the National Committee for Quality Assurance (NCQA) in 10 out of 10 credentials elements for Managed Care Organizations (MCOs), Preferred Provider Organizations (PPOs) and Managed Behavioral Healthcare Organizations (MBHOs). This ensures that you are receiving the highest quality and service from our team.

Designed to Secure
We protect your information through security measures that are enforced at multiple levels throughout our system’s architecture and processes. We use the latest encryption devices (1024-bit RSA public key and 128-bit SSL encryption) and firewalls to protect your data from unauthorized users. Our system maintains audit trails to track user’s transactions and requires access control and user authentication to prevent unauthorized users.

CredentialsOnLine:

  • Implements immediately with no IT support needed
  • Covers employee sick time, turnover and vacation
  • Saves your organization time and money by managing your credentialing and verification effort
  • Provides electronic access to provider information
  • Decreases turnaround time
  • Eliminates duplication of effort and paperwork
  • Collects incomplete or missing information
  • Offers scalable and customizable solutions
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