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Provider Network Credentialing |
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MCN uses a master database for primary source verification to confirm Board Certification, State licensure, residency training, medical school graduation and other data on our consultants. If the physician has had any reportable matters including licensure actions or malpractice settlements, we access the NPDB (National Practitioner Database) and review the specific facts to determine if the physician is a suitable consultant for MCN. MCN uses a “rolling re-credentialing” model. MCN may use consultant resources in remote areas or specialty types that are infrequently requested. It is imperative that these providers are fully credentialed prior to every evaluation to assure that they remain qualified for our Network.
Credentialing includes verification of: | | State Licensure – All state licenses are reviewed from each state in which the physician has practiced.
| | | Board Certification – Board certification is checked to determine if a Dr. is in good standing. MCN accepts Boards recognized by the American Board of Medical Specialties for medical doctors as well as several other Boards for non-MD’s.
| | | Professional Liability Insurance –MCN requires a proof of current insurance coverage.
| | | DEA License – MCN checks to confirm that the DEA license is in good standing. |
MCN utilizes the National Practitioner Database (NPDB) to review any adverse issues discovered in the credentialing process. Legal Proceedings – MCN utilizes the National Practitioner and State Databases to review and assess legal claims and disciplinary matters impacting a prospective consultant.
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