DecisionHealth, DecisionHealth - 2011 Issue 10 (October)

4 ways to avoid enrollment delays with private plans that don’t use UPD

Your best tool to speed the credentialing process with private insurance plans is the CAQH Universal Provider Datasource (UPD), but you must be ready to use paper and push for UPD adoption when dealing with smaller payers.

Use UPD whenever you can: The CAQH UPD service is a widely used online database (http://www.caqh.org/ucd.php) that stores provider credentialing information using a single standard form, one that’s accepted by “almost all the big players,” says Jennifer Searfoss, CEO of Searfoss Consulting Group in Annapolis, Md. “You enter the provider’s information once, and it can be used by all the plans that participate.” In fact, UnitedHealthcare requires all participating providers to credential using UPD, Searfoss says.

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