A Tale of Three Credentialing Departments – How Health Plans are Achieving Their Primary Source Verification Objectives Despite Limited Automation

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The hub of an efficient primary source verification (PSV) process is automation.  However, for many health plans, mechanizing data extraction, evaluation, and categorization may be delayed due to competing departmental priorities, cost, and limited IT resources.

During our 20-minute discussion, we review how three health plans changed their processes to meet the immediate demands of larger provider networks and tighter deadlines without hiring additional staff or building a fully automated process - while still setting the stage for future automation.  

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