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Cenevia credentials all healthcare practitioners

Credentialing is the process to examine and review professional credentials of healthcare practitioners. Cenevia (Cenevia) meets the National Committee for Quality Assurance (NCQA) standards. Cenevia verifies licensure, certification, education and experience to confirm the professional credentials of healthcare practitioners. Strict credentialing standards are required to ensure quality and patient safety.

The NPPES has multiple screens that provide for selection of a provider type code and classification name / area of specialization. Certain taxonomy selections will require you to enter your license number and the state where the license was issued. A list of taxonomy selections that require license information is supplied by the application. There […]

Visit https://nppes.cms.hhs.gov/NPPES/NPIRegistryHome.do

Many health plans utilize CAQH as a universal provider data source. Health plans download the CAQH application after the practitioner completes his/her CAQH application and fax the required attachments. CAQH maintains the accuracy of practitioner data by sending a notice every 90 days to the practitioner for re-attestation. To learn more about the CAQH website, visit: https://upd.caqh.org/oas/

The timeline to complete enrollment is not consistent, as it depends upon the health plan/3rd party payer. However a general guideline – based upon a completed application – is between 1 to 4 months.

Please submit all documents via email or fax to the appropriate contact person. Please see the credentialing and provider enrollment contact list.

Please complete or submit indicated items as soon as possible. If you have further questions, please contact Cenevia’s Credentialing and Enrollment Department using the “Contact” link on the sidebar.

Provider Enrollment starts once the completed application and required attachments are received by Cenevia. Cenevia will forward the health plan application to the practitioner for review and signature when applicable. Once Cenevia receives the completed health plan enrollment application, Cenevia will forward the information to the health plans to begin the enrollment process. Please allow […]

Provider enrollment is the enrollment of practitioners with health plans. Cenevia’s provider enrollment department provides application population services for practitioners. Cenevia populates the provider data on the health plan applications that are requested by the health center. Cenevia forwards the applications to the health center credentialing contact for review and signatures. Once the health plan […]