Adva-Net is the nation’s first and largest specialty network for comprehensive pain management, post-acute care and addiction recovery within the worker’ compensation industry. Their network includes more than 55,000 healthcare providers at locations across the country. Working with so many providers, the organization needed more accurate, timely primary source verification (PSV) as part of their credentialing process.
To meet the forecasted credentialing demand, and to ensure that the organization was meeting NCQA standards for
primary source verification (PSV), Adva-Net determined that they would need to hire two additional associates to oversee their PSV process. Unfortunately, due to budgetary constraints, increasing the staff size was impractical.
Adva-Net was also concerned that key data elements were being overlooked, and the omissions would severely impact
their ability to fully evaluate provider applications, while increasing their susceptibility to audit risks.
Since Adva-Net was already using CAQH ProView® for their provider data gathering process, they decided to choose
VeriFide™ to meet their PSV needs. The network had a strong and positive relationship with the CAQH team and were
pleased to learn that the VeriFide solution utilized the provider data within CAQH ProView.
As an NCQA-Certified Credentials Verification Organization (CVO), CAQH offered Adva-Net the assurance they
needed that all regulatory requirements for verified data elements were met, thus reducing their audit vulnerability.