Take charge of the solution

The solution is CredNet. The model allows providers to join a network that has the sole purpose of credentialing. The provider joins it just like they would join any other network program.

CredNet contracts with the credentialing bodies (health plans, hospitals, surgery centers, etc.) to enter into "delegated credentialing agreements." Under a delegation agreement, the organizations agree to allow CredNet to credential all of its members as long as it is accredited or continues to utilize a certified CVO.

CredNet’s strategy is to implement a network that will allow providers to be credentialed in one place by one organization in such a way that all payers and non-payer PPOs would accept and contract to delegate the credentialing to CredNet.

To do this, the company will create a network like no other. It will hold no boundaries to any one hospital or health plan, nor limit itself by geography. It will contract to verify the physician's credentialing file from Med Advantage then conduct its own peer review and assess a rating (pooling) on the provider and open the usage to all health insurance companies, health plans and hospitals at no cost. The physician's fee agreement, if any, with the health plan will be completely separate from CredNet, while still enjoying the convenience of the delegated credentialing.