OneHealthPort Provider Data Services

for Credentialing and Privileging Data Collection

Washington state will soon have a common, statewide service for centralized collection and distribution of all provider data to be used for credentialing and privileging. This means health plans and hospitals in Washington state will be able to gather the provider information they need from one source and provider organizations will no longer need to respond separately to individual requests for information from each health plan and hospital they work with.

Implementation of this service by all health plans and hospitals operating in the state is required by the Washington state legislature as part of the 2009 administrative simplification bill, SSB 5346. OneHealthPort is providing this service as the state-designated lead organization responsible for helping to implement SSB 5346.

The OneHealthPort Provider Data Service is powered by Medversant, a health care IT company specializing in developing streamlined ways for using provider information to improve processes.

For Credentialing/Privileging Organizations - How to Buy data files and services

The Provider Data Service leverages technology to reduce the amount of work it takes to collect and manage the data and documents needed for NCQA, URAC and Joint Commission Credentialing. The Credentialing organization has multiple options depending on how much work the organization wishes to keep inside the enterprise:

• Acquire the data from the centralized Provider Data Service including images of any documents supplied by the provider.
• Acquire the data plus the Primary Source Verification(PSV) image library to supporting documents acquired from the primary sources.
• Custom alerts to notify you when defined elements on a practitioner record changes.
• Acquire data, PSV images and rent an application to self-manage the privileging process
• Outsource the NCQA and/or Joint Commission data verification process to Medversant.

Pricing and Contract Request Form

For the Provider Community

With the ProviderSource application, a practice can enter data once and attest to it multiple times during the year to meet many trading partner needs. There is no fee for provider organizations to input data, attest to records or print the Washington Practitioner Application with required attachments.

• In 2010, while hospitals and health plans build interfaces to the new central database, practices can print information from ProviderSource to mail in.
• In 2011, it is anticipated that all hospitals and health plans will request data from ProviderSource.

Data Use Policy

Confidential data will be made available only to entities engaged in credentialing or privileging activities and for these activities only, and entities receiving confidential data items are expressly prohibited from reselling or redistributing these data to any other entities. For a full copy of the data use policy, click on the link below:

OneHealthPort Provider Data Service Policy (pdf)