Credentialing

CHN Credentialing department assures that the documents presented by the provider maintain National Committee of Quality Assurance (NCQA) and Health Plan standards.

The procedure for credentialing includes:

  • Collecting, compiling and verifying Provider data
  • Provider Primary Source Verification (PSV) to NCQA standards
  • Managing Expirables
  • Processing of initial and re-credentialing provider applications