Supporting Our Hospitals. Our Physicians. Their Communities.

Credentialing

Medical Staff Credentialing

Centralized Cactus credentialing system software with 8 participating hospitals

  • Primary Source Verification
  • Reference & Affiliations Confirmation
  • Application Processing w/Universal Application Capabilities

 

Payer Credentialing & Enrollment

Delegated credentialing agreements with multiple payers

  • Reduces workload for hospitals and employed physician practices
  • Simplifies, improves efficiencies, and reduces duplication of the credentialing process
  • Utilizing CACTUS for standardized reporting to payers
    • Streamlined enrollment
    • Electronic solutions
  • Achieve NCQA compliance with payers  through delegation oversight process

 

Physician Advisory Committee

Physician Advisory Committee (PAC) activity is a peer review process under Indiana law. As part of this process PAC members review and evaluate  provider info relative to network participation, licensure limitation, quality concerns related to complaints/adverse event, performance measures.