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Credentialing & Recredentialing

What is the credentialing and re-credentialing process for network providers? 

Davis Vision’s selection of the most qualified ophthalmologists and optometrists in our network is accomplished through an extensive application and NCQA-certified credentialing process.

Credentialing staff members collect, validate and submit all history and quality data for review by the Credentialing Committee. Source verification of education, licensure, board certification and DEA registration (where applicable) is obtained and the National Practitioner Data Bank is queried for all applicants. The Credentialing Committee conducts an assessment of each provider’s credentials based upon pre-established guidelines of professional qualifications and office qualifications deemed necessary to provide quality patient care.

The credentialing and recredentialing of providers is ongoing to ensure to quality of care provided by our network providers. Recredentialing, conducted every three years, is based on a review of updated documentation (licensure, National Practitioner Data Bank inquiry, malpractice history, etc.), as well as reports generated through the patient satisfaction feedback mechanism and Davis Vision’s Quality Assurance Program, including site visits.