Credentialing Services

Upper Peninsula Health Group (UPHG) Credentials Verification Organization (CVO) performs credentialing services based on National Committee for Quality Assurance (NCQA) standards while going above and beyond to ensure clients are meeting standards set forth by The Joint Commission, Det Norske Veritas (DNV) and all other accrediting bodies.

Utilizing a CVO can offer benefits to hospitals, health systems, clinics and payers that include reduction in overhead costs, efficiency, paperless files, faster turnaround times and improved physician satisfaction. Credentialing staff answer emails within 1 business day, use a web-based credentialing software so that clients have real-time access to all provider data, and utilize fillable forms and electronic signature software for quick, simple turnaround on applications and verifications.

UPHG offers services based on your credentialing needs to include all elements to meet your entities needs.

Our Mission

The mission of the Credentialing Department is to ensure our network of health care professionals and organizational providers are qualified and meet current industry standards of credentialing, through a defined verification and monitoring process.

NCQA Certification

Every two years, our Credentialing Verification Organization (CVO) undergoes NCQA recertification. The CVO was originally certified in 2010.

NCQA certification gives CVO clients the confidence that the services provided are of the highest quality. UPHG is NCQA certified in all 11 elements:

Application and Attestation Content
Application and Attestation Processing
DEA Certificate
Education and Training
Malpractice Claims History
Medical Board Sanctions
Medicare Medicaid Sanctions
Ongoing Monitoring of Sanctions
Verification of Board Certification Status
Verification of Licensure
Work History

Direct questions to: Credentialing Services.