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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
Davis Vision collects,
validates and submits all documenation, 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.