Third Party Payer Credentialing
The American Academy of Family Physicians (AAFP) supports a single, nationally standardized health care professional credentialing application as one way to support administrative simplification.
The AAFP believes that payers:
- who require board certification as a requirement should permit physician participation for residents who have evidence of completing the required training and are actively pursuing meeting the requirements for certification by the American Board of Family Medicine within its specified time frame;
- should make final physician credentialing determinations within 45 calendar days of receipt of a completed application;
- should grant provisional credentialing, pending a final credentialing determination, if the credentialing process exceeds 45 calendar days;
- should retroactively compensate physicians for services rendered from the receipt date of physicians’ completed credentialing application upon final, successful credentialing determination.
(2007) (2012 COD)