Primary Source Verification Standards

  • Joint Commission
  • NCQA
  • URAQ
  • Others where applicable to the clien

Initial and Re-Credentialing Files

  • Primary Source Verification of all applicable data elements.

Client Web Interface

  • Track files through the verification process.
  • Private label an online application for new providers.

Timely, Accurate and Efficient

  • 30 day standard to a complete file from the date of a clean application.
  • If the file cannot be completed within 30 days from acceptable sources, you will know why and what we’re doing to fix it.

File Maintenance

  • Tracking and Document Gathering on all expiring credentials including:
    • Medical License
    • DEA
    • State Narcotics Licenses
    • Medical Malpractice
    • Board Actions and Sanctions

For hospitals, surgery centers, nursing homes, etc., We will produce a complete verified file up to the applicable standards in a timely and cost-effective manner. The facility maintains complete control over privilege delineation.

Facility clients can specify file formats, timeframes and level of file maintenance.

Facility clients have the opportunity to get files at no charge if the provider participates in our network.

For Group Practices we will verify core credentials and perform background checks prior to entering into contracts. This will verify both the provider’s ability to be credentialed and their insurability for medical malpractice insurance. If the provider does not join the group, then standard rates apply.

Group Practices can specify file formats, timeframes, and level of file maintenance.

Group Practices have the opportunity to get files at no charge if the provider participates in our Network.

Our CVO was born out of managing networks and managed care organizations so we are uniquely familiar with the challenges you face. Meeting NCQA or URAC standards often is not enough when facing audits from various health plans. We can customize a file format to fit your specific policies and procedures.

Networks and MCO’s have the ability to get free credentialing files if the provider is a member of our Network.

About Fifth Avenue’s
Verification Services

We are a credentialing verification organization (CVO) that provides outsourced verification of provider credentials for health care organizations, networks, hospitals, surgery centers, and group medical practices. Our market area extends nationwide.

We serve:

  • Managed Care Organizations
  • Hospitals
  • Surgery Centers
  • IPAs
  • PHOs
  • HMOs
  • PPOs
  • Medical Groups
  • Physicians
  • Home Health Organizations
  • State Departments
  • Federal Departments
  • Credentialing Departments
  • Nursing Homes
  • Medical Offices

The Fifth Avenue Difference

We are a Credentials Verification Organization (CVO) that provides outsourced verification of provider credentials for:

  • Hospitals
  • Surgery Centers
  • Networks
  • Group Medical Practices
  • And More

We perform Primary Source verifications in a time-sensitive and cost-effective manner that is up to the highest industry standards.

  • NCQA
  • URAC
  • Joint Commission

Our focus is on predictable outcomes.

  • Timely
  • Complete
  • Accessible

Our competitive pricing model allows the practice to use all or part of our services to help meet the specific needs of the organization.

We encourage you to explore our website and learn more about why we are a leader in credential verification in the health care industry.