Uhlelo lokusebenza kanye nezinqubo zokuqinisekisa
Ukuba umhlinzeki we-CIGNA HealthCare obambe iqhaza kungazuzisa ehhovisi lezokwelapha kanye nodokotela balo. I-CIGNA HealthCare ingenye yezinkampani ezinkulu zomshuwalense wezempilo e-US kubantu ngabanye nemindeni. Njengengxenye yenethiwekhi yabo, amasevisi wakho azosetshenziselwa ngokukhethekile.
Izinzuzo Zokuba Umhlinzeki We-CIGNA
Ukuhlanganyela ne-CIGNA HealthCare inikeza ihhovisi lezokwelapha amathuba amaningana:
- Yibani inethiwekhi yomhlaba wonke odokotela kanye nezindlela zehhovisi lezokwelapha eziyaziwa ngokuhlangana noma ezidlula izinyathelo zokuphepha neziguli.
- Ukufinyelela kumalungu e-CIGNA HealthCare afuna umhlinzeki ohlanganyele endaweni yakini.
- Amathuluzi amaningana wokuphatha umkhuba anikezwa ku-intanethi evumela ihhovisi lezokwelapha ukuba liqinisekise ukufaneleka kwamalungu kanye nezinzuzo, hlola isimo sesimangalo, kulinganisa isigwebo sesiguli, uthumele izicelo zokugunyazwa kwangaphambili, futhi ufinyelele ezinye izici eziningi.
Sebenzisa izinyathelo ezilandelayo njengomhlahlandlela wokuba ngumhlinzeki we-CIGNA HealthCare Ohlanganyela.
Isinyathelo soku-1: Thola Isihlonzi Sezinhlinzeko Zikazwelonke (NPI) kanye nezinye izikhombi
Ngaphambi kokufaka isicelo sokubamba iqhaza kwiNethiwekhi ye-HealthCare ye-CIGNA, abahlinzeki kubandakanya odokotela, abanye ochwepheshe bezokwelapha, imikhuba yezokwelapha, nabathengi abathile kumele bathole i-NPI.
Isihlonzi seNational Provider noma i-NPI yinombolo enezinombolo ezingu-10 eziyingqayizivele yokuhlonza edingekayo yi-HIPAA. Uma ungenalo i-NPI, faka enye kwisayithi le-NPPES.
Uyodinga futhi inombolo ye-UPIN, Medicare Provider, nenamba yomnikezeli we-Medicaid ngakwesokunene ukukusiza ukuthi ugcwalise uhlelo lokusebenza, uma kusebenza.
Isinyathelo 2: Joyina i-CAQH ProView
I-CAQH ProView iyithuluzi le-inthanethi elenzelwe ukunciphisa inqubo yokuqoqa ulwazi oludingwa izinhlelo zezempilo zomhlinzeki wokuqinisekisa. Amalungu angaqedela futhi athumele ulwazi lwabo ezinhlelweni eziningi ezehlukene zezempilo mahhala.
Ungabhalisa ne-CAQH kwiwebhusayithi yabo.
Isinyathelo 3: Qedela isicelo se-CIGNA
Ngemuva kokuqedela okudingekayo, shayela u-1-800-88Cigna bese uthatha inketho yeCredentialing. Uzothunyelwa ulwazi oludingekayo kuhlelo lokusebenza nokuqinisekisa.
Inqubo yesicelo ingagcwaliswa ngokuphelele kwi-Inthanethi. Uma isicelo sesiphelile futhi sifakiwe, uzodinga ukugunyaza i-CIGNA HealthCare ukuthola ukufinyelela kohlelo lwakho lokubhalisa nolunye ulwazi. Inqubo yonke akufanele ithathe isikhathi esingaphezu kwamahora amabili ukuqedela. I-module ibuye yenzelwe ukulondoloza ulwazi lwakho uma udinga ukuqedela uhlelo lokusebenza ngezikhathi eziningi.
Idesksi yokusekela i-CAQH iyatholakala ukukusiza uma udinga usizo ngesikhathi senqubo.
Isinyathelo 4: Hlanganisa yonke imibhalo yokusekela ye-CIGNA
Noma yimaphi amadokhumenti asekelayo kufanele asefekselwe ku-CAQH ku- (866) 293-0414. Uzodinga:
- I-Curriculum Vitae
- Ilayisensi yezokwelapha
- Isitifiketi se-DEA
- Isitifiketi se-CDS
- Ifomu le-IRS W-9
- Ishidi lomshwalense we-inspractice
- Ukufingqa kwanoma yiziphi izinkinga ezilindile noma ezihleliwe
Ngaphandle kolwazi oludingwa yi-CAQH, i-CIGNA HealthCare inezinhlu zazo zemibhalo kanye / noma izindlela zokusekela ezingacelwa.
- Ukuqinisekiswa kwamalungelo omtholampilo ngokuma okuhle kwabasebenzi bezokwelapha esibhedlela CIGNA-iqhaza
- Isimo sesitifiketi seBhodi ne-American Board of Special Specialties noma i-American Osteopathic Association
- Ukuqinisekiswa kwemfundo nokuqeqesha
- Ukuqinisekiswa kwemisebenzi yangaphambili yokulahlwa yizinhlangano zokulawula kanye ne-CMS
- I-CIGNA yenza ukuvakashelwa ngokusemthethweni kuma-PCP, ama-OB / GYN, kanye nochwepheshe bezempilo abaphezulu bezindlela zokuziphatha
Olunye ulwazi olufanelekayo lokuba ngumhlinzeki we-CIGNA
- Inqubo yonke ingathatha izinyanga ezintathu kuya kweziyisithupha
- Vumela 60 kusukela ngosuku lokuthatha isinqumo ukuthola incwadi eyamukelekile
- Kuye odokotela noma ochwepheshe bezokwelapha, ulwazi oluyingqayizivele ekukhethekile lwakho lungacelwa ngaphezu kwamaphepha asekelayo abhalwe ngenhla
- Ukubuyiselwa kabusha kwemininingwane kubonakala njalo eminyakeni emithathu
- Ukuze uthole ulwazi oluthe xaxa mayelana nehhovisi lakho lezokwelapha uba umhlinzeki we-CIGNA HealthCare ohlanganyela ekuvakasheni iwebhusayithi yeCigna kanye caqh.org