Credentialing Resources

The Universal Provider DataSource (UPD)
Login to the Universal Provider Database
UPD Quick Reference Guide
CAQH Best Practices

Sample Welcome Packet
Sample CAQH Letter
Credentialing Checklist

Resource Documents
Integrated Massachusetts Application
Sample HCAS Reference Letter
Health Plan Contracting and Enrollment Required Documents List
HCAS Provider Enrollment Form (MS Word)
Enrollment and Credentialing Application Status Inquiries

Training Materials
HCAS Credentialing Training Manual

Hospital Roster Process
HCAS Hospital Roster Submission Process
• Massachusetts Hospital Roster Submission Process
     1. Frequently Asked Questions Document
     2. Quick Reference Guide
     3. Sample Cover Letters

Contact CAQH
• CAQH: www.caqh.org
• CAQH Helpdesk: (888) 599-1771
• CAQH Fax Number: (866) 293-0414

Provider Network Participation Inquiries

Health Plan Department Name Phone Number
Blue Cross Blue Shield of MA Network Management and Credentialing Services 800-316-2583
Boston Medical Center HealthNet Plan Provider Processing Center 888-566-0008
Fallon Health Provider Relations 866-ASK-FCHP
Harvard Pilgrim Health Care
www.harvardpilgrim.org/providers
Provider Service Center 800-708-4414
Health New England   Provider Contracting 413-233-3210
Medical Network Inc. (Med Net)   Credentialing Department 207-289-1040
Ext. 108
Neighborhood Health Plan Provider Service Center 855-444-4647 (4NHP)
Tufts Health Plan Contracting Department 800-442-0422
Ext.2169
Tufts Health Plan - Network Health
www.network-health.org
Customer Service 888-257-1985

 



HELPFUL HINT

 

Did you know? One of the most common reasons for follow up during the credentialing process is missing malpractice insurance information. Please populate your malpractice insurance start and end dates on the professional liability insurance screen in CAQH.

 

Click here for more helpful hints.

 

 

 

 

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