MedCheck's sole focus is credentialing. The MedCheck premise of Professionals Credentialing Professionals assures the client the highest degree of data quality with ongoing compliance to NCQA requirements.

MedCheck credentialing services meet and exceed NCQA requirements. Our clients have the option of choosing the level of credentials verification they would like, assuring them the information necessary to credential high quality providers and providing a firm foundation in the area of risk management. Managed Care Organizations, (MCOs) have a legal and moral responsibility to insure that providers participating in their systems meet industry accepted standards. Credentials verification for recredentialing insures update information regarding your providers. MedCheck professionals consists of representatives from all fields including medical, podiatry, physical therapy, chiropractic and nursing.

Medcheck will identify prospective practitioners, mail and process applications, primary source verify, and submit the final profile to you.

Our ongoing technology initiatives will ultimately allow your members to access your practitioners through a secure web site and download specific information such as location, hours of operation, specialties practiced, languages spoken, and a photograph of the practitioner.

MedCheck will be able to download directory information to you for the printing of your practitioner directories.MedCheck customizes its services to your needs.





The number 2 reason why 7 out of 10 Managed Care Organization's (MCO's) have not qualified for full NCQA accreditation is Credentialing...
[Health Care, June 94]

MedCheck Credentialing Services was founded in 1994 in response to the industry's need for primary source verification of healthcare professionals. The credentials verification process is time consuming, tedious and demanding. Appropriately trained staff provided with applicable resource materials including a state of the art information systems are necessary for accuracy and consistency of credentials verification.

MedCheck is a forerunner in the development of credentaling services. MedCheck is based on the credentialing requirements set forth by the National Committee for Quality Assurance, (NCQA) and is certified NCQA Credentialing Verification Organization, (CVO).

MedCheck Credentialing Services has achieved maximum certification for Managed Care Organizaions (MCO) and Managed Behavioral Care Organizations (MBHO) under NCQA's Credentials Verification Organization Certification program for the following 10 credentials elements:
  • License to Practice
  • Hospital Privileges
  • DEA/CDS Registration
  • Board Certification/Residency Completion/
  • Medical School Graduation
  • Malpractice Insurance
  • Malpractice Claims History
  • Application Processing
  • NPDB Query
  • Sanctions Against Licensure
  • Medicare/Medicaid Sanctions


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