Comprehensive Credentialing and
Primary Source Verification

ENSURE COMPLIANCE. BUILD CONFIDENCE. EMPOWER PROVIDERS

Global Clinical Services (GCS) delivers NCQA-compliant credentialing solutions that streamline provider onboarding, protect data integrity, and support audit readiness. From initial verification to ongoing monitoring, we manage the complete credentialing lifecycle so your organization can focus on quality care.

Our Credentialing Services Include:

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    Primary Source Verification

    • Conducted at initial and recredentialing (every 3 years)

    • Verification of active licenses, DEA/CDS, and board certifications

    • Sanction and exclusion checks (SAM, OIG, State lists, Opt-Out registries)

    • NPDB query and review

    • Education and hospital affiliation verification

    • Malpractice insurance confirmation

    • Work history review for initial credentialing

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    Provider Communication & Committee Support

    • Provider notification and email templates

    • Best-practice communication workflows

    • Credentialing Committee file preparation and follow-up

    • Agenda and minutes templates

    • Approval and denial letter templates

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    Policy & Procedure Compliance

    • Fully NCQA-compliant credentialing policies and procedures

    • Credentialing Information Integrity (CII) language- Incorporation of July 1 NCQA policy updates

    • Continuous process review for regulatory alignment

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    Expirables Management

    • License, DEA, and board certification tracking

    • Malpractice insurance expiration alerts

    • Provider outreach and renewal management

    • Centralized dashboard for expirables monitoring

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    Provider Data & Reporting

    • Comprehensive provider credentialing data maintenance

    • Report generation for audits, committees, and regulatory requests

    • Real-time credentialing metrics and performance insights

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    Ongoing Monitoring

    • Continuous sanction and exclusion screening

    • Preclusion monitoring for CMS compliance

    • SAM, OIG, OPT Out and state exclusion checks