Practitioners are required to complete the re-credentialing every two years based on their initial credentialing date. A provider must successfully complete recredentialing in order to remain a participating provider. Cenevia will provide pre-populated recredentialing application months in advance of the required credentialing date. In addition, reminder notices are sent frequently to the practitioner and/or credentialing […]
Health plans will be notified of new providers within 48 hours of the Credentialing Committee decision. Directory updates are health plan specific.
Step 1: Request login access to the eApply website or request a manual application. Step 2. Practitioner submits a completed digital or manual application with required attachments to Cenevia. Please ensure the application is complete, as a partial application will significantly increase processing times. Step 3. Our credentialing staff verifies credentials and prepares applicants’ files […]
Cenevia processes expedited files (rush files); an additional fee is charged for rush files.
Yes. All information received is held in the strictest confidence and secured in locked file cabinets.
Shareholders: Upon successfully completing the credentialing process, the provider, the credentialing contact, and the designated leadership of the facility will receive a letter welcoming the provider to the network. External Clients: Cenevia will forward the credentialing contact at the health center the completed application.
The time frame for credentialing varies depending on many variables. However, once a completed credentialing application is received, the credentialing department typically completes the process within 15-30 days.
The process is completed when all elements and queries required by state and federal law have been verified queries are complete. Shareholders: Once completed, the Credentials Committee convenes weekly to review all Initial and Recredentialing files. Notification of the Credentials Committee decisions is communicated to the practitioner and to the client within 48 hours. External […]
1. Answer All questions on the application 2. Signed Attestation 3. CV (résumé) 4. Copy of license- all states in which practitioner is actively seeing patients 5. Copy of DEA (if applicable) – DEA must reflect the current state practitioner is seeing patients 6. Copy of controlled substance, if applicable 7. Copy of board certification […]
The credentialing process begins after a completed application (required elements for a completed application is below) is received
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