Our Credentialing Department is a unit comprised of 10 highly-trained individuals who review provider information to ensure that we obtain and maintain a high quality network of Participating Providers.

Prospective PPO USA Network provider applications are reviewed and verified by our team of qualified Credentialing Specialists. Providers are initially reviewed and then re-reviewed every three years. Copies of the following information are required as part of the initial credentialing process:

• State License
• Federal or State DEA Certificate
• Specialty Board Certificate
• Highest education achieved unless State Board Certified
• Certificate of Malpractice Insurance or policy face sheet that includes the expiration date, insured's name and insurance limits

Our Peer Review Committee reviews the information collected for first-time applicants. The Peer Review Committee meets monthly and is responsible for approving new providers.

We understand how busy our Participating Providers' offices can be. Therefore, we have made the recredentialing process as quick and easy as possible. When the time comes for a Participating Provider to be recredentialed, our Credentialing Department will send you a recredentialing packet consisting of a letter, provider profile, and recredentialing application. Copies of the following information are required for us to complete the recredentialing process:

• Updated State License
• Updated Federal or State DEA Certificate
• Specialty Board Certificate if previous certificate is expired or you have become Board Certified since your last credentialing instance
• Updated Certificate of Malpractice Insurance or policy face sheet that includes the expiration date, insured's name and insurance limits

Our Credentialing Specialists are available to answer questions or provide assistance with our credentialing process. If you have any questions, please do not hesitate to call our Credentialing Department at (800) 821-4991, Option 3.