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The document is a credentialing application form for healthcare professionals applying to AvMed Health Plans. It requires detailed personal identification data, office and practice information, professional licenses, work history, hospital affiliations, and disclosures regarding professional liability and disciplinary actions. The application emphasizes the importance of completeness to avoid delays in the credentialing process and includes sections for voluntary demographic information.

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Versions	Form popularity	Fillable & printable
2014	4.9 Satisfied (46 Votes)
2011	4 Satisfied (70 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I contact AvMed provider?

As always, should you have any questions please call AvMeds Provider Service Center at 1-800-452- 8633 or email us at Providers@AvMed.org.

How much does provider credentialing cost?

On average, the cost of physician credentialing is approximately $2,000-$3,000 per year. Heres a breakdown of the costs associated with individual pieces of the credentialing process: Individual physician credentialing costs between $100-$200 per physician.

What are the three types of credentialing?

What is an Example of Credentialing? Professional Credentialing. Facility Credentialing. Payer Enrollment Credentialing.

How often does a provider need to be credentialed?

Equally important as the initial credentialing process is re-credentialing. All credentials have an expiration date, which requires providers to repeat the credentialing process every 1 to 3 years. Keeping credentials up-to-date and maintaining accurate provider information helps guarantee a consistent quality of care.

How much does CAQH credentialing cost?

We charge $200.00 per CAQH application for new providers who do not have a CAQH ID and $150.00 if you already have a UserID and Password but just need it setup. We will send you an invoice which you can pay by check, bank draft or credit card.

avmed provider portal

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How long does physician credentialing take?

The general timeframe for healthcare providers to complete credentialing is between 90 to 120 days. However, this is an average estimate. Some payors may complete the process quicker, while others might take longer, especially for certain specialties.

What is the difference between credentialing and provider enrollment?

Provider enrollment is distinct from credentialing, although the two processes are often interrelated. While credentialing focuses on verifying the qualifications and competence of the provider, enrollment is about establishing the providers eligibility to bill a particular payer.

How much does it cost to credential a provider?

Individual physician credentialing costs between $100-$200 per physician. Most insurances and facilities require recredentialing every two years, which may vary. The CAQH Proview database is an option for online provider data collection.