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Efficient data management for tracking and updating provider credentialing information.
IntelliSoft Group offers one of the most innovative credentialing services available. With our state-of-the-art system, we offer a complete package of services for any size organization needing to meet the challenges associated with credentialing, recredentialing, and primary source verification. IntelliCVO can assist your organization with other important tasks like ongoing credentialing, privileging, and specialty projects.
Our services include efficient data management for tracking and updating provider credentialing information. We are able to provide continuous reporting to our client organizations. Our clients can trust that practitioner data is maintained in a completely secure credentialing system. IntelliCVO offers the following services;
IntelliCVO’s unique system, IntelliCred, is fully capable of meeting and exceeding the requirements of NCQA, URAC, and the Joint Commission. Our professional team possesses a combined 85 years of experience in Healthcare and Healthcare credentialing.
Initial Application and Primary Source Verifications for Healthcare and Insurance Providers – Joint Commission NCQA Requirements.
Recredentialing Application and Primary Source Verification for Healthcare and Insurance Providers – Joint Commission or NCQA Requirements.
Application Population – Hospitals, Provider Health Plan Enrollment and Participation, Professional Licensure.
The IntelliCVO offers services for automatically populating any type of application or form requiring your provider’s information. With our unique system, we are able to auto-populate and track initial applications for hospital privileges, health plan participation, professional licensure, etc. We can also provide this same service for reappointment or recredentialing applications.
We are able to mail, fax or email forms directly to the provider for review and signature. Depending on the services we are contracted to provide to your organization, we will ensure that the provider application package is securely sent to the recipient you have directed us to send the information to, or we will immediately begin the process of primary source verification on your behalf, or we will return the completed application package to you if requested.
Up-to-date Status Reports.
As a part of our standard service, we send status reports to you throughout the process so you are continuously updated and informed about the credentialing status of your providers.
“Fast-Track” Verifications and Application Processing for RUSH Situations
The IntelliCVO offers expedited credentialing, primary source verification and application management services as well. This level of service can be critical to organizations needing to ensure the completion of work in less than the normal time or as agreed upon between your organization and the CVO.
Data Management, Credentials Tracking and Document Storage
Our unique credentialing system gives us the ability to track the expiration of important provider credentials such as licensure, DEA registration(s), Board certification, malpractice insurance, etc. In addition to tracking this critical information, we also have the ability to store current and history documents in our database. Because we have the documents on file, they can be sent to you with ease via fax, email or standard mail.
Our system gives us the ability to monitor and provide reports relating to licensure status changes, disciplinary and other actions that are taken by licensing boards and/or OIG.
When we know that any actions have been taken against a provider that affect licensure or the practitioner’s ability to participate in Medicare or Medicaid, we will notify you.
We will work with you to create any customized reports you may need to track the status of verifications and provider enrollment activities.
Comprehensive Provider Enrollment Service
Comprehensive Service includes application population, tracking provider enrollment and plan participation for up to 6 months.
CVO “To Go”
The IntelliCVO “To Go” service is designed to assist organizations with verifications and application management during peak times of the year when a high volume of new credentialing or recredentialing is anticipated.
“A la Carte” Verifications
A significant discount is available for clients who may not want to include all primary source verification services provided by the CVO due to cost containment or other reasons. For these clients, there is an option to select certain verifications from a “menu” provided by the CVO.
Our unique services also include the ability for our clients to access their practitioner credentialing information via the Internet. With a link to the database via the Internet, our clients will have an up to the minute status for all practitioners.