Group
Application
Please complete a Group Application if your practice has 2 or more providers filing under the same Tax ID Number. Each provider within the group will also need to complete the Provider Application.
Corphealth participates in CAQH as a subsidiary of Humana. In order for Corphealth to access your CAQH application, please give Humana or "all health plans" authorization on the CAQH website.
The following states require state
specific provider applications. Except for Arkansas
physicians, include copies of documents listed on the
Checklist:
Once Corphealth has received a completed
application and signed contract the credentialing process
begins. The following information is verified:
License(s)– must be current and unencumbered, require at least a Master’s degree, and be able to practice independently
Malpractice Insurance– minimum limits of 1M/3M for physicians; 1M/1M for non-physicians
Education
Hospital Privileges (if applicable)
Board Certification
Physicians:
Unless date of birth is prior to 1950, Physicians must be Board Certified by ASAM in Addiction Medicine or Certified by the ABMS or AOA in Psychiatry OR completed a residency in Psychiatry and be progressing toward certification within 5 years of initial credentialing.
APN/CNS:
Advanced Practice Nurses/Clinical Nurse Specialists must have state or national mental health certification.
The National Practitioner Data Bank
is queried for information regarding malpractice settlements,
license suspension, and Medicare sanctions. A written
response is requested for any affirmative answers on
the provider application or from the National Practitioner
Data Bank. The final step is a review of the provider
application by the credentialing committee. The entire
credentialing process can take up to 120 days to complete.
Providers will be notified by mail once the process
is complete.
Links on the Corphealth web site
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