What can I expect to happen after I submit my information to CAQH or complete the Pennsylvania Provider Standard paper application?
• CAQH FAQs • After Keystone Mercy receives your credentialing application, it is reviewed for completeness. If pertinent information is lacking, the application will be returned to you for completion or a Credentialing Coordinator may contact you and request the necessary information. After the initial review of the application, our Credentialing Department verifies your credentials (e.g., license, DEA, board certification, etc.) and presents the information to the Keystone Mercy Credentialing Committee for a final determination on your inclusion in the network. Additionally, an office site visit, with medical record review, is conducted for all PCP and OB/GYN office locations to ensure that your office site and office standards are conducive to adequately treating Keystone Mercy members. • You have the right to review the credentialing information collected by Keystone Mercy, with the exception of references, recommendations and peer review-protected information. When a discrepancy i
Related Questions
- Am I required to complete and submit my Medicare enrollment application via the Internet-based Provider Enrollment, Chain and Ownership System (PECOS)?
- How does a provider print a paper copy of the CAQH Form UCDS from the CAQH system?
- How do I complete and submit an exception to an Information Security standard?
