Steps in Your Credentialing Process & Timelines
- Credential Verification: Your credentials will be verified in line with NCQA, CMS, Texas Department of Insurance, and Health Plan standards.
- Peer Review: The Genesis Credentialing team will submit your profile to the Genesis Physicians Group Peer Review Committee for a formal review and approval process.
- Timeline: The credentialing phase typically takes 4-6 weeks, marking roughly 25% of the overall process to secure your HealthPlan effective dates.
- Enrollment: Our Enrollment team will then actively engage with HealthPlans to finalize your effective dates during the subsequent phase.
Ongoing Credentialing Cycle
Your credentials will be reverified every 3 years.
- In between re-credentialing cycles, Genesis team conducts ongoing monitoring as per NCQA, CMS, and HealthPlan guidelines to maintain your HealthPlan enrollment and ensure there are no disruptions in your revenue cycle.
- It’s vital to continue keeping your CAQH profile current to aid in the ongoing monitoring processes.
Support and Resources
- For any questions, please contact us:
Genesis Support Desk
- For common inquiries:
FAQ