Credentialing At A Glance

​​Important Facts​

• KYHC verifies and assesses the credentials you submit as a part of the credentialing process when you join the KYHC Provider Network and every 3 years thereafter.​
• All providers or facilities must complete and submit a provider or facility information form or submit a roster in order to initiate the credentialing process.
• In order to streamline the credentialing process and avoid any unnecessary delays, KYHC encourages providers to utilize CAQH if applicable. In the event CAQH is not applicable or is not utilized, the provider or facility will be contacted by the KYHC credentialing vendor to obtain the needed information.
• In the event there are changes to your credentialing information, demographic information, or provider staff,  KYHC must be notified promptly in writing.
• The KYHC Credentialing Committee meets on a regular basis. You will be notified of its decision about participation within sixty calendar days of any decision.

Provider Rights

• In the event that a discrepancy should arise between the information a provider submits and that which is received as a part of the KYHC primary source verification, the provider will be notified of such discrepancy and given the right to provide additional information as appropriate and desired. Any additional information received will be included with your application to be considered by the Credentialing Committee when they render a decision about participation in the KYHC Network.
• Each provider has the right to correct erroneous information that was submitted by another source. The correction must be written and sent to the Credentialing Department within 30 calendar days of the notification. Your written correction will be included your application to be considered by the Credentialing Committee when they render a decision about participation in the KYHC Network.
• If a provider wishes to review the information obtained to evaluate their application, CV, attestation, or other document, they may do so by submitting a written request via email or fax to the KYHC Credentialing Department. This would include information from outside sources such as state licensing boards. Peer review protected information may not be reviewed.
• All providers have the right to check the status of their credentialing at any time. You may do so by submitting a written request to our Credentialing Department via email or fax.
• All information received through KYHC’s application and verification processes is kept in strict confidence.
• All processes used to credential and re-credential practitioners/providers are conducted in a non-discriminatory manner.