Services for our Providers

Credentialing

The appropriate credentialing of current and prospective CVCP physicians is a key component of a complete Quality Management Program. Credentialing is the systematic evaluation and verification of physician training, licensure, and experience performed to ensure the delivery of appropriate and efficient patient care by fully licensed and qualified physicians. This process is performed in compliance with the standards of the National Committee for Quality Assurance (NCQA) and the Department of Insurance.
CVCP makes credentialing easier for providers through our delegated credentialing agreements with the payers. Each provider only has to complete one credentialing application with CVCP and it is then applied to all applicable contacts. This process simplifies credentialing for the medical group.

All claims for which payment has not been received from the payer are automatically placed on a collection tickler at 30 days from CVCP’s claim filing date. At the 30 day mark, our collections team contacts the payer for status of payment of the claim and then continues the collection process until the account is paid in full.
During our collection process with the payer additional information, such as medical records, may be requested from your office. CVCP will contact your office by telephone or in writing depending on the nature of the request.
When you have status questions regarding your provider’s charges, your first contact should be with our Provider Relations Representative. However, our collectors can assist you with urgent status questions otherwise the majority of their time is spent on the phone with payers.
Historically CVCP has had a wonderful collections rate with our payers; our accounts receivable over 120 days is currently only 2.5% and only 1.1% in the 91-120 range. The majority of our A/R is current and we keep it that way!