Application Processing and Primary Source Verifications

TPQVO provides a complete packet of application processing, primary source verification and document collection services.  As a minimum, TPQVO uses only NCQA and Joint Commission approved applications, primary sources and methods for collecting and verifying credentialing information on behalf of our clients.  You will receive a certified copy of verifications as part of your credentialing package.  For a table showing Joint Commission verifications, please click here.  For a table showing NCQA standards, click here.

Clients may request all or some of the following services.  Pricing will vary based upon services required and whether a standard recredentialing schedule will be used.  

INITIAL APPLICATION

• Application Processing

• Profile Sheet (Verification Summary)

• Copy of:

• Initial Appointment Application

• Curriculum Vitae

• Medical School Diploma

• Residency Certificate

• Current Valid State License(s)

• DEA Certificate

• Certificate of Insurance

• Continuing Education Credits for the past 2 years

• Copy of Driver's License or U.S. Government-issued Passport

• Verification of:

• Training, including professional school, internship, residency, fellowship

• Liability Insurance and Claims History for past 5 years

• All licenses, past and present

• Medicare/Medicaid Sanctions

• GSA Excluded Parties List

• Work History (past 5 years)

• Past and Current Hospital Affiliations

• Board Certification

• Teaching Appointment(s)

• National Practitioner Data Bank query

• Three Peer References

RECREDENTIALING

• Application Processing

• Profile Sheet (Verification Summary)

• Copy of:

• Reappointment Application

• All current state licenses

• DEA Certificate

• Certificate of Insurance

• Verification (since last recredentialing) of:

• All Licenses held

• License Sanctions

• Medicare/Medicaid Sanctions

• GSA Excluded Parties List

• Liability Insurance and Claims History

• Board Certification

• Hospital Affiliations

• Teaching Appointments

• National Practitioner Data Bank query

• Three Peer References

• CME credits for past 2 years

Standard recredentialing schedules for Physicians and Allied Health Providers are organized by specialty and allow region-wide recredentialing to occur at the same time every two years.  This standardization allows TPQVO and client organizations to save time and money and reduces hassle for healthcare providers by limiting requests for applications and supporting documentation.

Clients using TPQVO to process both initial applications and recredentialing will also receive document update and notification services.

DOCUMENT  UPDATE/ NOTIFICATION SERVICE

• License Renewal

• Insurance Policy Renewal

• DEA Certificate Renewal

• Licensure Sanctions

• Medicare/Medicaid Sanctions

For more specific information or for a proposal tailored to meet your organization's needs, please contact us.