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Art I., Government Service Administrators (TPA)
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Credentialing

eCredential is the product you're looking for: http://proformadocuments.com/products/ecredential.html

Credentialing. Nobody likes to do it, but with increasing regulatory compliance requirements and liability, it is more important to do this well. The ProForma system excels at credentialing.

The entire system is automated. You can go paperless without waiting for providers or clients to change their behavior. If they want paper, they can still have their fax or snail mail. They won't even know that we exist.  

And it's easy.
1. We handle the implementation - which is just part of our service (no hidden fees or extra charges).

2. Forms are automatically sent to your providers 45-days before their insurance is up (or whatever advance date you choose). The system automatically kicks out credentialing update requests to those providers. The requests are sent via the provider's preferred method - mail, fax, or email.

3. The provider sends back their license and insurance information; we scan them, upload the images, pull off the data, and import it into your existing database. And now, from within your existing database or case management software, anyone with security clearance can see the forms with one click.

4. If the provider fails to respond, you can set up an automatic follow-up letter that kicks out a reminder letter.

Result: Credentialing is completely automated. There's no data entry and no scanning. Costs go down, provider response rates go up, and errors are eliminated.

With our automated triggering system, the right credentialing requests will be sent to the right providers, at the right time. Flexible re-try options enable you to specify business logic, such as:

“send the credentialing forms initially, then again (if not received after 30 days), then again (if not received after 90 days)”.

 

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Call us: 1 (925) 876-6790

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