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Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

November 2015

HCAS Credentialing Best Practices Guide Now Available

HealthCare Administrative Solutions (HCAS) has released an HCAS Recommended Credentialing Best Practices guide. Harvard Pilgrim is a participating member of HCAS, a health plan collaborative founded in 2005 to simplify administrative processes for providers and health insurers.

The guide is intended to assist the provider community by highlighting the most common elements that require outreach to the provider during the credentialing process, as well as outlining several best practices to assist providers in completing their credentialing applications.

Background: March 2015 CAQH Update
In March 2015, CAQH converted from the Universal Provider DataSource to CAQH ProView. Since the CAQH ProView launch date, some providers have delayed use of the system while CAQH worked to improve its performance. Providers are now urged to re-enter the ProView system to complete the application process and re-attest to their information so that it is up to date and ready for credentialing.
The HCAS Recommended Credentialing Best Practices guide provides guidance around how to enter or re-enter the CAQH ProView system and how to correct errors commonly made when submitting a credentialing application, as well as information about the new self-registration functionality that allows providers to create a CAQH account and establish a user ID number.

More information
In addition to the new guide, the Credentialing Resources page on the HCAS website is an excellent source of information about provider credentialing and recredentialing. For further details on how to use the CAQH ProView system, FAQs, manuals, and reference guides, visit the CAQH ProView website.

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Eric H. Schultz,
President and Chief Executive Officer

Robert Farias,
Vice President, Network Services

Annmarie Dadoly,

Joseph O'Riordan,

Kristin Edmonston,
Production Coordinator