Initial Credentialing

Completely Paperless

Initial Credentialing of Electronic Applications

CredentialsOnLine’s process minimizes costs and decreases turnaround time for provider credentialing. In addition to ensuring compliance with NCQA, URAC, and the Joint Commission credentialing standards, our procedures dictate a high degree of timeliness, while reducing administrative costs and eliminating duplicative efforts.

CredentialsOnLine offers several different packages that can be customized to meet your specific needs. Our CVO receives information from all primary sources including state licensing boards, American Board of Medical Specialties, Federation of State Medical Boards, the American Medical Association, and the National Practitioner Data Bank.

Electronic applications are completed online by providers, or the provider may submit a paper credentialing application. After reviewing the application for completeness, the verification process is initiated using a variety of online primary sources and our comprehensive databases.

NCQA Certification

We obtain information from all primary sources:

  • State Licensing Boards
  • American Board of Medical Specialties
  • Federation of State Medical Boards
  • National Practitioner Data Bank
  • Current Licensure
  • Board Certification
  • Education
  • Training ( Internship, Residency, Fellowships)
  • DEA/CDS Certification
  • Medicare/Medicaid Sanctions
  • Malpractice Coverage and Claims History
  • AMA Master File
  • Hospital Affiliations (past and current)
  • Prior State License(s)
  • Academic & Faculty Appointments
  • Professional References
  • Work History
  • National Student Clearinghouse
  • Many other sources

The CredentialsOnLine staff compiles proper primary documentation, reviews the existing documentation and data with emphasis on content, omissions and existing inconsistencies; performs online primary source verifications and obtains additional certificates or paperwork as needed. As a result, CredentialsOnLine’s clients are provided with accurate, current and confidential electronic provider profiles. All related documents are scanned and the client receives a complete paperless credentialing file and profile. CredentialsOnLine exceeds traditional verification services through superior online communication to our clients. Our verification services provide 24-hour access to provider information using a secure Internet site. COL clients have access to one click status reports and they receive ongoing updates on work in progress.