Credentialing

Payer Credentialing & Enrollment

Delegated credentialing agreements with multiple payers

• Reduces workload for hospitals and employed physician practices
• Simplifies, improves efficiencies, and reduces duplication of the credentialing process
• Utilizing CACTUS for standardized reporting to payers
  • Streamlined enrollment
  • Electronic solutions
• Achieve NCQA compliance with payers  through delegation oversight process

Physician Advisory Committee

Physician Advisory Committee (PAC) activity is a peer review process under Indiana law. As part of this process PAC members review and evaluate  provider information relative to network participation, licensure limitation, quality concerns related to complaints/adverse event, and performance measures.