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On behalf of HMAA, HWMG Introduces 
Provider Credentialing Process Using CAQH ProView

In order to comply with the State of Hawaii's Act 192 requiring health care provider network adequacy and accreditation, HWMG will begin transitioning providers to a credentialing process using  CAQH ProView in January 2016. This will ensure participating providers meet the credentialing criteria  for the HWMG medical or dental network, URAC health network  accreditation standards, and government regulations.
  • Participating Providers will be subject to the initial credentialing process sometime during our phase-in period of 2016 through 2019. We will notify you prior to initiating this process.
  • New Providers (such as those joining a participating contracted practice) will be subject to the initial credentialing process beginning February 1, 2016. Please allow ample time to complete the entire process prior to the provider's start date. The processing time can be up to 90 days to accommodate licensure verifications and clarification of discrepancies.
CAQH ProView
About CAQH ProView

CAQH ProView is an online solution trusted by more than 1.3 million healt hcare providers for capturing and sharing self-reported professional and practice information. It is fully electronic, provided at no cost to you, and was developed to save you and your staff the time it would take to complete lengthy paper forms. CAQH ProView may also help speed claims adjudication and payment. Once your data has been entered, you may update and attest to your information at any time. 

Resources to assist you are available at  www.caqh.org/solutions/caqh-proview , including short how-to videos and a Quick Reference Guide. You may also call the CAQH Provider Help Desk toll-free at (888) 599-1771 or email  providerhelp@proview.caqh.org . 

Already Registered?
If you already have a CAQH ProView account, please follow these steps to ensure your information is correct.
  • L ogin to CAQH ProView to update and/or re-attest to your CAQH profile at least once a year - the tool will prompt you to do so.
  • Add new documents to replace any expired ones. This includes a current copy of your liability insurance.
  • Leave no gaps in your work history for the most recent five years or list the reasons for any gaps, such as leaves of absence, maternity leave, illness, or relocation.
  • If you only authorize specific organizations to access your profile, please add HWMG.  
Not Yet Registered?
If you are not registered with CAQH, we will notify you prior to beginning our initial credentialing process. Our notice will include your CAQH assigned Provider ID and registration instructions. You may then login to ProView and complete your credentialing application.
 
You also have the option to self-register through the  CAQH ProView Provider Portal  at any time. After self-registering, you will receive a welcome email with your assigned Provider ID. You may then login to ProView and follow the prompts to complete your profile and credentialing application.

What Happens After Completing the Credentialing Application?
HWMG will verify applications as part of the credentialing process. This includes contacting the primary source of particular credentials (e.g., state licensing boards, school programs) and monitoring credentials using CAQH SanctionsTrack. You will be notified of any issues noted during the credentialing process. Once we verify all of your information, we will present it for peer review by our Credentialing Committee (composed of network physicians) and our Chief Medical Officer. You will be notified within 10 business days of the Committee's decision.

If you have any questions, please feel free to contact us Monday through Friday, 8 am to 4 pm HST.  Mahalo for your support and continued participation!
 
Provider Relations Department
(808) 591-0088 ext. 304
Toll-free (800) 621-6998 ext. 304

                                          
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 This announcement has been brought to you

by HWMG Provider Connection.