Information Last Updated: 6/4/2019
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Credentialing is the process of obtaining and reviewing documentation to determine participation status in a health plan. The documentation may include, but is not limited to, the applicant’s education, training, clinical privileges, experience, licensure, accreditation, certifications, professional liability insurance, malpractice history and professional competence. Generally, the terms credentialing and recredentialing include the review of the information and documentation collected, as well as verification that the information is accurate and complete.
Brand New Day accepts the use of Council for Affordable Quality Healthcare (CAQH) ProViewTM, a service that provides a fast and easy way to securely submit credentialing information to multiple plans and networks by entering information just once. Application data can be submitted online at any time. This simplified credentialing process reduces paperwork and saves time. It is provided at no cost. Please be sure to grant Brand New Day access to the CAQH ProView application.
Brand New Day Also accepts the California Participating Physician Application (CPPA).
To become credentialed for the first time, you will need a current and complete application.
Please be sure to:
Provide digital copies of your:
Credentialing typically takes between 60-90 days from the time a provider roster is received to the time a provider is reviewed at Credentialing Committee. Ensuring a provider’s CAQH profile is updated, that Brand New Day is authorized to access a CAQH profile, and that roster data is submitted accurately will all help reduce processing time.
The easiest way to have changes (of any kind) to your provider roster reflected is to re-submit your roster with the relevant changes inputted. For Terms, please ensure you include a “Term Date” in the respective field.
Providers will receive a letter in the mail when they have passed credentialing. Please note that providers cannot see Brand New Day members until they have passed credentialing and have reached their contract effective date.
Providers can only start seeing Brand New Day patients after they’ve been credentialed. In the case of direct credentialing that will be when they receive a Pass credentialing notification.
If you would like to know the credentialing status of your providers, please fill out all of the required information below under Form Submission. In the last field below that displays “Application Type”, expand the drop down box, and select “Request Credentialing Status Update” and press submit. We will receive your status inquiry and send out an email response back with an update within 72 hours.
Click on the buttons below to download the forms to complete your Credentialing status.
CAQH Attestation Form
FULL CPPA Application
Supervising Physician Assistant Agreement
Mid-Level Provider Application
Drag and Drop your files here: