Elegant Letter

Physician Services

1370 Hazelwood Drive Suite 203 • smyrna, tn • 37167

Phone: 615.223.1400 or 888.288.1880 • Fax: 615.223.1405 www.physiciansvcs.com

Dear Provider:

Attached is the CREDENTIAL AMERICA© General Application. This document is used so we may gather much needed information for credentialing purposes. Please make sure you answer every question possible and provide us with any additional information you feel we need on a separate piece of paper.

In addition to sending us your completed CREDENTIAL AMERICA© General Application, we need to obtain a listing of the health plans for which you need to be credentialed. We need both items before we can proceed with making phone calls to the health plans for you.

Please do not hesitate to call us with any questions. Below is a list of staff members that you will be working with along with phone numbers and e-mail addresses for each:

Cindy Hayes Sales/Follow-Up cindyh@physiciansvcs.com 615.223.1408

Vera Nabi Start-Up/Phase I veran@physiciansvcs.com 615.223.1776

Peggy Best Application Completion mailto:peggyb@physiciansvcs.com 615.223.1483

From the moment we receive your information, signed contract and payment, we will begin contacting the health plans on your behalf to request applications. Then, as they are received, we will complete them and send them to you for signature. We ask that you review the applications for accuracy and sign and date where indicated. Then, make a copy for your records if you’d like and forward them to the health plans in the envelopes provided. Of course, it is always best to send them certified mail or overnight delivery to insure receipt. The cover letter that accompanies your completed application(s) will instruct you to document the date you sent the application(s) and the method of delivery. You will need to fax this letter back to us before follow-up will commence. This eliminates unnecessary follow-up phone calls for us in case you have not yet sent your application to the credentialing entity.

The staff of Credential America© understands the importance of credentialing and we will do everything possible to expedite the process. However, you should be aware that the credentialing process can take several months. We have no control over the length of time a health plan takes to credential you. But, be assured that we will be following up with them to be certain they have all the information necessary.

Upon request, you will receive a weekly status report that will provide you with a summarization of your status with each plan. This report is in no way representative of all of the work we have performed on your account. We keep comprehensive notes regarding your progress and the conversations we have with health plan representatives. However, this information is much too lengthy to include in a report. If you ever decide that you need more detailed information about the status of a health plan, simply call us and we will be glad to provide that information to you.

Thank you, for allowing us the opportunity to work with you. We trust that you will find our services to be highly valuable and hope that you will recommend your friends and colleagues to us as well!

Warm regards,

Physician Services