Credentialing

PSV Verification

• Ad Hoc State License Verification

Importing Rosters

• Provider Import
• API Provider Import
• Provider Import: File Template and Sample File
• Provider Import: Fields and Accepted Values Explained
• Valid Provider Types

Outreach

• Outreach Reasons and Making an Application Compliant
• Facility Outreach Reasons
• Horizon Documents
• AmeriHealth Caritas Florida Documents
• What Makes a Credentialing Application Compliant?
• Outreach Non-Responder Policy

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Primary Source Verifications

• Reading the Credentialing Summary Report

Credentialing and File Review

• Request Labels
• Labels

Education Verification Proxies by State

• Education Verification and Proxies