Practitioners’ rights during credentialing process

The credentialing process must be completed before a practitioner begins seeing members and enters into a contractual relationship with a health care insurer. As part of our credentialing process, practitioners have certain rights as briefly outlined below.

 

Practitioners can request to:

Review information submitted to support their credentialing application.

Correct erroneous information regarding a credentialing application.

Be notified of the status of credentialing or recredentialing applications.

 

The Council for Affordable Quality Healthcare (CAQH®) universal credentialing process is used for individual providers who contract with Amerigroup Community Care. To apply for credentialing with Amerigroup, go to the CAQH website at https://www.caqh.org and select CAQH ProView™. There is no application fee.