Credentialing and Enrollment Health Link has obtained delegated credentialing agreements from several contracted commercial payers. Because of Health Link's delegated status, independent providers complete one paperless credentialing application versus one application for each payer. At the conclusion of the credentialing process, the provider is awarded the Health Link effective date for all Health Link contracted payers. Delegation saves significant administrative time and cost, allows for provider applications to be expedited through the verification and enrollment process and ultimately ensures timely reimbursement for members.
Recredentialing Health Link independent providers will complete one re-credentialing application for all Health Link contracted payers. Health Link has streamlined the re-credentialing process by prepopulating each application, which significantly reduces the number of questions and forms each provider is required to complete.
Maintenance of Credentials As a benefit of membership, Health Link provides maintenance of credentials. This is a service which conducts queries of all license and certification expirations and notifies offices of soon-to-expire documents. This process ensures provider credentials are kept current. These credentials include:
- Malpractice Insurance Certificate
- State License
- Federal DEA Certificate
- State Controlled Substance Certificate
- Board Certification/Other Certifications
Ongoing Sanction Monitoring Health Link provides an ongoing sanction monitoring service to immediately alert members of a provider identified on any of the various sanction reports. Members are notified immediately of any possible provider match. These reports include:
- State License Board Disciplinary Reports, as released
- Office of the Inspector General (OIG) Sanction Exclusion
- System for Award Management (SAM)
- Continuous Query of the National Practitioner Data Bank (NPDB)
Contact Health Link’s credentialing team at www.healthlinkppo.com or 800-453-7536 for more information.