Author Topic: Credentialing NP in NY  (Read 1515 times)

asilva03

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Credentialing NP in NY
« on: April 18, 2016, 04:08:08 PM »
Do NPs have to have an MD admit a patient to a hospital on their behalf to credential with BCBS in NY or can they use a hospitalist group if they do not have any hospital privileges?

Thank you for your help!

Sriram_Sub

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Re: Credentialing NP in NY
« Reply #1 on: April 19, 2016, 08:34:58 AM »
NY Blue cross blue shield does credentialing based on information completed in CAQH UPD. If you could look at that portal, under Hospital affiliations section, you can only see a space for the NP to furnish an individual's name and Not a name of a hospitalist group.

So, it should only be an MD's name who covers for this NP. Hope this clarifies.

Regards
Sriram
Sriram

Medical Billing Forum

Re: Credentialing NP in NY
« Reply #1 on: April 19, 2016, 08:34:58 AM »