To ease credentialing for Kansas physicians, the Council for Affordable Quality Healthcare (CAQH) today announced the launch of its Universal Credentialing DataSource system in the state. CAQH, a not-for-profit alliance of the nation's leading health plans and networks, developed this system to help physicians more easily and cost-effectively provide required credentialing information to health care organizations. Participating health plans in Kansas include Aetna Health Inc., Blue Cross and Blue Shield of Kansas City, CIGNA HealthCare of Kansas Inc., The First Health Network, the CCN Network and Great-West/One Health Plan.
The new CAQH Universal Credentialing DataSource service enables physicians to satisfy the credentialing needs of all participating health care organizations by submitting their information one time to the uniform system. The free, secure service allows physicians to submit data by fax or Web using the Kansas Standardized Credentialing Form. Universal Credentialing DataSource makes it possible for physicians to spend just a few minutes each quarter to confirm that their credentialing information is complete and accurate.
Today, physicians face the redundant and time-consuming process of credentialing or re-credentialing with individual health plans once every three years. During this timeframe, information often becomes outdated. The CAQH system provides a time-saving solution that helps ensure information is up-to-date for credentialing and payment processing, and for use in health plans' electronic and paper directories.
"It is very rewarding to be part of this effort to simplify the credentialing data submission process for physicians in Kansas," said Tom Bowser, president and CEO of Blue Cross and Blue Shield of Kansas City. "Universal Credentialing DataSource eliminates many of the frustrations of the traditional credentialing process, enabling physicians to dedicate more time and energy to the practice of medicine."
Any health care organization with credentialing requirements is encouraged to participate in Universal Credentialing DataSource. All participating health care organizations pay an annual per physician/provider fee for unlimited access to completed records, in addition to a small annual administrative fee to offset system maintenance and customer service requirements. Each health care organization reviews and verifies credentialing data, and decides independently whether or not a physician meets its standards for participation.
Data collected through Universal Credentialing DataSource is maintained by CAQH in a secure, state-of-the-art data center, and is only made available to health care organizations that have been authorized by each physician. Health care organizations are automatically notified when a physician's information changes.
"As a CAQH member, we've listened to physicians' concerns about credentialing and we're confident that Universal Credentialing DataSource is a solution that will make a significant, positive impact on their work lives," said William McCallum, president and CEO of Great-West/One Health Plan. "We strongly encourage physicians to experience the time-savings, convenience and ease of fulfilling required credentialing information that this tool provides."
To create Universal Credentialing DataSource, CAQH worked with providers, health plans and networks, professional associations, insurance regulators and accreditation associations. The service first launched in Virginia and Colorado in March 2002, and it is now also available to physicians in Connecticut, Florida, Georgia, Illinois, Iowa, Indiana, Kentucky, Maryland, Missouri, New Jersey, New York, Ohio, Oklahoma, Tennessee, Texas, Washington, D.C., and Wisconsin. CAQH plans to launch Universal Credentialing DataSource nationwide in 2003.
To raise awareness of the availability of Universal Credentialing DataSource in Kansas, CAQH has mailed a registration kit to physicians in the state, inviting them to participate in the service. The kit includes a temporary ID that physicians can use to register in the system. Physicians who are affiliated with a participating health plan, but who have not received the registration kit, can call the Help Desk at 888-599-1771 or contact a participating health plan directly.