In an effort to reduce administrative burdens for providers in Washington State, the Legislature passed Second Substitute House Bill 2335 in 2016, which requires providers to submit credentialing applications to a single credentialing database, Medversant’s ProviderSource, by June 1, 2018.
This legislation also requires health carriers to accept and manage credentialing applications from the same database. Effective June 1, 2018, health carriers must make a determination approving or denying a credentialing application submitted to the carrier no later than 90 days after receiving a complete application. Effective June 1, 2020, a health carrier’s average response to approve or deny a provider’s credentialing application may not exceed 60 days.
OneHealthPort is the organization that was selected by the Office of the Insurance Commissioner to vet and select a uniform electronic process for collecting and transmitting provider-supplied data to support credentialing and other related processes. OneHealthPort chose ProviderSource, which is a free online data collection and verification system that allows providers to manage their provider data used for credentialing.
By entering your practice data once and attesting to its accuracy, your practice will be allowed to utilize a service that:
- Continuously reviews and verifies pre-populated provider data available through public databases.
- Provides a place to enter your practice credentialing information and upload documents to a single, secure database.
- Sends reminders when your practice needs to re-credential, or renew malpractice insurance or licenses.
- Makes your data available to hospitals and health plans when they need it.
As the sole source of provider credentialing information for hospitals and insurance carriers in Washington, utilizing ProviderSource will help streamline the credentialing process as well as improve the timeliness of information availability for hospitals and insurance carriers.
What do I need to do?
If you do not currently have an account with OneHealthPort, you will need to first register before setting up an account with ProviderSource. Before registering, please make sure to review the instructions on how to register for OneHealthPort online.
Once you have successfully registered, follow the instructions in this step-by-step guide.
Upon completion of the above-mentioned steps, you will be able to log in to the ProviderSource Application using your OneHealthPort subscriber ID and password.
When you are ready to notify health plans of the completion or update of your credentialing information, use the Online Health Plan Notification Form.
To make this process as easy as possible, make sure to review the resources provided by OneHealthPort:
For questions regarding your current OneHealthPort Subscriber ID, call 1-800-973-4797 for assistance.