In addition to completing your credentialing application with CAQH, you will need to complete the OSCIPA Provider Agreement and checklist located in the JOIN OSCIPA section. Select the JOIN OSCIPA tab and initiate the OSCIPA membership application process. Upon receiving credentialing information from CAQH, the OSCIPA documents in the JOIN OSCIPA section, and the $175 credentialing fee, your application will be submitted to our Credentialing Committee and Board of Directors for approval. Your application will not only be for OSCIPA membership, but will also be for our contracting carriers and networks as well.
Credentialing is the process by which OSCIPA reviews and validates the professional qualifications of physicians who apply for participation within our organization, ensuring that we meet the professional standards required by the insurance entities that we provide credentialing services for.
Effective May 1,2012 the Council for Affordable Quality Healthcare, Inc. (CAQH) will collect the data required for our credentialing and recredentialing process. CAQH uses a Universal Provider Datasource® (UPD) form to electronically collect the data. This online credentialing application process supports our administrative simplification and paper reduction efforts. This solution also supports quality initiatives and helps to ensure the accuracy and integrity of our provider database. Once that information is obtained by CAQH, then OSCIPA can begin our credentialing process with the insurance payors and networks that we provide credentialing services for. Providers may utilize the UPD at no cost, but there is a one-time OSCIPA credentialing fee of $175.
The Council for Affordable Quality Healthcare, Inc. (CAQH) is a not-for-profit collaborative alliance of the nation’s leading health plans and networks. The mission of CAQH is to improve health care access and quality for patients and reduce administrative requirements for physicians and other health care providers and their office staffs. CAQH is solely responsible for its products and services, including the Universal Provider Datasource.
OSCIPA has a Credentialing Coordinator that monitors all credentialing processes. All of our credentialing services meet standard credentialing criteria established by the National Committee for Quality Assurance (NCQA), American Accreditation Health Care Corporation (AAHCC), and the Joint Commission for Accreditation of Healthcare Organizations, (JCAHO). OSCIPA consistently passes annual credentialing audits by our contracted health plans and networks.
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Calendar of Events
Fall 2013 Relicensing Seminar
September 14-15, 2013
Fall 2013 Re-Licensing Seminar: 16 CEU's
Topics: Natural Alternatives to the Top 10 Prescription Drug Uses & Extremity Adjusting Protocols
Located in Tulsa at the Doubletree Warren Place at 61st and Yale
View details and register here.
Efficiency at the Front Desk