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Practitioners

New Practitioner {{ main.currentPractitionerDetails.firstName }} {{ main.currentPractitionerDetails.lastName }} - {{ main.currentPractitionerDetails.practitionerTypeCode }} ({{ main.currentPractitionerDetails.npi }}) {{ main.currentPractitionerDetails.firstName }} {{ main.currentPractitionerDetails.lastName }} - {{ main.currentPractitionerDetails.practitionerTypeCode }} ({{ main.currentPractitionerDetails.npi }})

{{ main.currentCredentialingEvent.workflow.credentialProcessGroupName }} {{ main.currentCredentialingEvent.workflow.credentialProcessGroupName }}

{{ main.currentStep.credentialProcess.credentialProcessType.credentialProcessName }}

Practitioner Center
ProStat ({{client.clientName}})

ID	Client	Add Practitioner Request	Latest Comments	Date Submitted	Updated Date

No Alerts exist for this Practitioner

Priority	Reason	Type	Title	Description	Visible to Clients?	Client	Step	Action
	{{ alert.reason }}	{{ alert.type }}	{{ alert.title }}	{{ alert.description }}	{{ alert.internalOnly ? "No" : "Yes" }}	{{ alert.clientName }}	{{ alert.credentialProcessName }}

UUID	Bot	Client	Workflow	Step	Status	User	Amount	Date

You are not authorized to perform this action

Run CAQH Bot:

Running the CAQH bot will log in to the practitioner's account and compare their last attestation date and update it in ProApp if they do not match

Client Name	Type	Products	Billing Start Date	No Credentialing Options	Updated Date	Action
{{ cpd.clientName }}		{{ cpp.product.value }}	Do NOT Bill {{cpd.initialBillingDate \| date:'MM/dd/yyyy'}}	Committee Yes No Smartform Yes No	{{cpd.updatedDate \| date:'medium'}}

Date	Type	Sent By	Subject	Status	Actions

ID	Name	Step	Category	File Name	Client	Last Updated	Actions

Select a client to view health plans

Select a Client:

Select a Group:

{{ hp.carrierAndPlanName }}

Select a Status:

Carrier Name

Plan Name

Payer Networks

There are no entity health plans available for this filter.

Add a note to multiple practitioners at multiple facilities associated with {{ main.currentClientHealthPlanForEntities.carrierAndPlanName}}:

Select All Plans

Client Facilities

({{ main.ownedClientPractitionerEntityHealthPlans.plans.length }} {{ main.ownedClientPractitionerEntityHealthPlans.plans.length > 1 ? 'Plans' : 'Plan' }}) Show ({{ main.ownedClientPractitionerEntityHealthPlans.plans.length }} {{ main.ownedClientPractitionerEntityHealthPlans.plans.length > 1 ? 'Plans' : 'Plan' }}) Hide

	Name	Status	Effective	Next Credentialing	Last Follow Up
	{{ ownedPlan.entityName }}		{{ ownedPlan.effectiveDate }}	{{ ownedPlan.nextCredential }}	{{ ownedPlan.lastFollowUpDate }}

Associated Entities

({{ associatedGroupPlan.plans.length }} {{ associatedGroupPlan.plans.length > 1 ? 'Plans' : 'Plan' }}) Show ({{ associatedGroupPlan.plans.length }} {{ associatedGroupPlan.plans.length > 1 ? 'Plans' : 'Plan' }}) Hide

	Name	Status	Effective	Next Credentialing	Last Follow Up
	{{ associatedPlan2.entityName }}		{{ associatedPlan2.effectiveDate }}	{{ associatedPlan2.nextCredentialing }}	{{ associatedPlan2.lastFollowUpDate }}

{{ associatedGroupPlan.clientAssociatedEntityGroupName }}: ({{ associatedGroupPlan.plans.length }} {{ associatedGroupPlan.plans.length > 1 ? 'Plans' : 'Plan' }}) Show {{ associatedGroupPlan.clientAssociatedEntityGroupName }}: ({{ associatedGroupPlan.plans.length }} {{ associatedGroupPlan.plans.length > 1 ? 'Plans' : 'Plan' }}) Hide

	Name	Status	Effective	Next Credentialing	Last Follow Up
	{{ associatedPlan.entityName }}		{{ associatedPlan.effectiveDate }}	{{ associatedPlan.nextCredential }}	{{ associatedPlan.lastFollowUpDate }}

Client	Step	Category	File	Date	Fee
{{ f.clientName }}	{{ f.processName }}	{{ f.categoryName }}	{{ f.fileName }}	{{ f.updatedDateAsString }}	{{ f.feeAsString }}

Practitioner ID
{{ main.currentPractitionerDetails.practitionerId }}

UUID
{{ main.currentPractitionerDetails.uuid }}

First Name

Last Name

NPI

Created Date
{{ main.currentPractitionerDetails.createdDate | date:'medium'}} by User ID {{ main.currentPractitionerDetails.createdBy }}

Update Date
{{ main.currentPractitionerDetails.updatedDate | date:'medium'}} by User ID {{ main.currentPractitionerDetails.updatedBy }}

Health Plans

Select a client to view health plans

Select a Client:

Select a Status:

Carrier	Plan	Status	Effective	Next Credentialing	Last Follow Up
{{hp.carrierName}}	{{hp.planName}} ({{ hp.planNumber }})		{{ hp.effectiveDate }}	{{ hp.nextCredential }}	{{ hp.lastFollowUpDate }}
There are no healthplans available for this filter.

Latest Notes: Health Plans

Note	Updated	Action

Practitioner Health Plan Details

Select a health plan to view details

Carrier
{{ main.currentHealthPlan.carrierName }}

Plan Name
{{ main.currentHealthPlan.planName }}

Plan Number
{{ main.currentHealthPlan.planNumber }}

Plan Status
{{ main.currentHealthPlan.clientHealthPlanStatus }}

Health Plan Status

Effective Date

Expiration Date

Termination Date

Application Sent Date

Application Received Date

Enrollment Date

Last Follow Up Date

Next Follow Up Date

Notify Prior to Expiration

Initial Credentialing

Last Credentialing

Next Credentialing

Payer Provider Number

Secondary Payer Number

PTAN

CAQH Number

Facility Medicaid Group Number

Facility Medicare Group Number

Approval Confirmation Date

Payer Number or Enrollment Tracking Number

Payer Instructions

Files

No files exist

File Name	Uploaded Date	Action
{{ f.fileName }}	{{ f.uploadedDateLong \| date:'MM/dd/yyyy @ h:mma' }}

Invoice #	Practitioners	Amount	Paid	Product	Status	Month	Generated

Select a Client:

ID	Name	Delete
{{ practitionerIpaFacility.entityId }}	{{ practitionerIpaFacility.facilityName }}

PDM Facilities

Select a client to view PDM Facilities

Select a Client:

Filters

Name	Credentialing Type	Status	Initial Credential	Next Credential
{{pf.facilityName}}	{{ pf.entityCredentialingType }}		{{ pf.initialCredential }}	{{ pf.nextCredential }}

Name	Status	Status Description
{{pf.facilityName}}		{{ pf.statusDescription }}

Client does not have PDM Facilities matching your filter criteria

Latest Notes: Practitioner PDM Facility

{{ note.title }} ({{ note.updatedDate | date:'MM/dd/yy @ h:mma' }})
{{ note.note }}

There are no notes available for this practitioner PDM Facility.

All Forms

Please select a Form {{ main.currentForm.name }}

{{ main.currentSection.name }} Select a Section

{{ main.currentQuickUpdate.subsection.subsectionName }} Select a Subsection

{{ f.name }}
Activate Appointment Process in ProApp for Practitioner and Client : {{c.clientName}}?

Yes No

{{ s.name }}

{{ s.name }}

Select a {{ main.currentQuickUpdate.title }}

Please select a {{ main.currentQuickUpdate.title }}

WARNING: This section has been verified with the primary source. To modify please submit a request by clicking the 'Edit Verified Data' button. Once a request has been submitted, requested changes will not be visible until they are approved by our credentialing team to ensure data integrity.

WARNING: This section has been verified with the primary source.

View in ProApp

Client

Please select a client

Privilege Type	{{ ce.entityName }}
{{ p.name }} Re-generate: {{ f.file.originalFileName }}	{{ p.files[ce.clientEntityId].version }}
No Privileges Selected
Added since last approval Removed since last approval {{ r.name }} {{ r.description }}

Case Logs:

File	Uploaded
{{ f.originalFileName }}	{{ f.uploadDateLong \| date: 'medium' }}

Name	Description	File Type	Action
Practitioner Data Download	Generate a PDF of all answers completed within the Credentials Center SmartForm	PDF	Generate Download
State Form	Generate a PDF of the respective State Form	PDF	No Clients Available {{ cpd.clientName }} Initial Re-Credential Generic Form CPPA Form
Professional Liability Addendum	Generates the Professional Liability Addendum for the current practitioner	PDF	Generate Addendum
CME Attestation Statement	Generates the CME Attestation Statement for the current practitioner	PDF	Generate Statement

Source	Discovered Date	Is Resolved	Resolved Date	Confirmed	Comments

Search Date	Source Count	Candidates Found

Note: Full sanction searches may take up to 15 minutes to complete. Please be patient.

Search Date	Source	Candidates Found

Source	Month	File Name	Created By	Actions

ID	Name	Is Self?	Is Proxy?	Is Default?	Full Form Access?
{{ prac.userId }}	{{ prac.username }}	{{ main.currentUserPractitionerSelf == prac.isSelf ? "Yes" : "No"}}	{{ prac.hasAccess == 1 ? "Yes" : "No"}}	{{ main.currentUserPractitionerDefault == prac.practitionerId ? "Yes" : "No"}}	{{ prac.fullAccess == 1 ? "Yes" : "No"}}

View all Active Work Queue Items related to this Practitioner

No Work Queues exist for this Practitioner

Work Queue ID	Work Queue	Work Queue Instance ID	User	Last Updated
{{ wq.workQueueId }}	{{ wq.name }}	{{ wq.workQueueInstanceId }}	{{ wq.fullName }}	{{ wq.updatedDate \| date: 'medium' }}

Active?	Name	Client	Product	Workflow Type	Type	Specialist	Overall Status	Days Due	Turn Around Time	Updated Date	Action

Status Link: {{ main.currentCredentialingEvent.statusURL }}

Overview

{{ main.currentCredentialingEvent.workflow.credentialProcessGroupType.value }}

Notes

{{ main.workflowNotes.length }} Note{{ main.workflowNotes.length == 1 ? "" : "s" }} Available

Audit

{{ main.currentCredentialingEvent.auditRecords.length }} Audit{{ main.currentCredentialingEvent.auditRecords.length == 1 ? "" : "s" }} Processed

Risk Score

{{ main.currentCredentialingEvent.riskScoreName }} ({{ main.currentCredentialingEvent.riskScore }})

Not enough data

Packet

No packet required {{ main.currentCredentialingEvent.completedFileName }} {{ main.currentCredentialingEvent.completedFileName }} No Packet Exists No Packet Exists

Step	Overall Status
{{ main.currentStep.stepName }}	{{ main.currentStep.stepStatus.statusName }}

Due Date: {{ main.currentStep.dueDate }}
Owner: {{ main.currentStep.owner.fullName }}

View Checklist

Records

No Records Exist for this Step. Please user the "Add New Record" button below. No Records Exist for this Step. Please ensure the SmartForm has the correct information.

Title	Status	Action
{{ tStep.title }}	{{ tStep.status.statusName }}

Workflow must be active in order to approve the step as not applicable

Alerts

There are no alerts for this step

Priority	Description	Actions
{{alert.priority}}	{{alert.description}}

State Forms

State	Action
{{v.value}}

Templates

Name	Action
{{v.formTemplate.fileName}}

Privilege Forms

Name	Action
{{v.fileName}}

Bots

Name	Description	Action
{{bot.displayName}}	{{bot.description}}

Verification Links

Name	Description	Action
{{link.displayName}}	{{link.description}}

Exclusions

Name	State	Effective Date	Description	License Number	NPI
{{exclusion.name}}	{{exclusion.stateCode}}	{{exclusion.effectiveDate}}	{{exclusion.description}}	{{exclusion.licenseNumber}}	{{exclusion.npi}}

Client Guidelines
{{ main.currentStep.clientGuidelines }}

Detailed Review
{{ main.currentStepRecord.title }}

Record Status

Workflow must be active in order to update the record's status

Please select a Record to review

No records exist

Title

This record has been verified and is locked. To make changes, please contact User Services.

Please select a {{ main.currentQuickUpdate.title }}

View in ProApp

Name	Action
To: {{ main.currentStepPeerRequest.toName }} Email: {{ main.currentStepPeerRequest.toEmail }} Status: {{ main.currentStepPeerRequest.status }} Sent: {{ main.currentStepPeerRequest.dateSent }} Last Resent: {{ main.currentStepPeerRequest.dateResent }} Sent {{ main.currentStepPeerRequest.numSent }} times View Request	Complete {{ main.currentStepPeerRequest.generatedFileName }}

Name	Action
Status: {{ main.currentEmailRequest.status }} Sent: {{ main.currentEmailRequest.dateSent }} Last Resent: {{ main.currentEmailRequest.dateResent }} Sent {{ main.currentEmailRequest.numSent }} times	View Request
Emails	Action
{{ email.subject }} ({{email.createdDateAsStamp}})	Resend

General Step Fees

File Name	Date	Fee
{{ f.fileName }}	{{ f.updatedDateAsString}}	{{ f.feeAsString }}

Record Specific Fees

File Name	Date	Fee
{{ f.fileName }}	{{ f.updatedDateAsString}}	{{ f.feeAsString }}

If Applicable, at least one file must be uploaded. Record will not be marked 'Complete' until a file has been uploaded

File	Uploaded	Delete File
{{ f.fileName }}	{{ f.uploadedDateLong \| date: 'medium' }}

Upload a New {{ main.currentStep.credentialProcess.credentialProcessType.credentialProcessName }} File:

Below are files available within the system to be assigned to this specific step

There are no completed peer reference verification forms for this practitioner

File	Uploaded	Add File
{{ peerReferenceFile.fileName }}	{{ peerReferenceFile.updatedDate \| date: 'medium' }}

File	Uploaded	Action
{{ f.fileName }}	{{ f.uploadedDateLong \| date: 'medium' }}

Comments

Url

Username

Password

Select Search Criteria. (Hold Ctrl while clicking for multiple selection)

Select the section(s) you do not want to include in the report. (Hold Ctrl while clicking for multiple selection)

Workflow must be active in order to save the record

Credentialing Guidelines: {{main.currentCredentialingEvent.workflow.guidelinesFile.originalFileName}}

{{ main.currentCredentialingEvent.percentComplete }}% Complete

Step	Status	Owner	Notes	Last Updated
{{ cat.name }}	{{ cat.stepStatus.statusName }}
{{ step.stepName }} (due {{step.dueDate}}) {{step.acknowledgement}}	{{ step.stepStatus.statusName }}	{{ step.owner.fullName }} {{ step.owner.fullName }}	{{ step.allComments \| limitTo: 40 }}{{step.allComments.length > 40 ? '...' : ''}} {{ step.oldComments }}	{{ step.updatedDate \| date:'short'}}

The entity '{{ main.currentCommunication.entity.name }}' has not yet been verified by 3WON. Please confirm the contact information below is correct.

To
{{ main.currentCommunication.to }}

Apply a Template?
No Templates Available

Message

From
{{ main.currentCommunication.from }}

From
noreply@3won.com

Send from a shared Inbox?
Yes No

The current client does not have any shared inboxes.

To
{{ main.currentCommunication.to }}

CC
{{ main.currentCommunication.cc }}

BCC
{{ main.currentCommunication.bcc }}

Add a CC or BCC?

BCC

Apply a Template?
No Templates Available

Subject
{{ main.currentCommunication.subject }}

Message

Files and Attachments

File	Uploaded
{{ f.value.originalFileName }}	{{ f.value.uploadDate }}

Created Date
{{ main.currentCommunication.createdDateAsString }}

In order to send Phone communications, you must first enter your Ring Central Phone Extension under Your Profile

Your Phone Number
{{ main.currentCommunication.from }}

Practitioner Phone Number

Fax Number

Apply a Template?
No Templates Available

Subject
{{ main.currentCommunication.subject }}

Message

Files and Attachments

File	Uploaded	Action
{{ f.value.originalFileName }}	{{ f.value.uploadDate }}

Files

No files exist

File Name	Uploaded Date	Action
{{ f.fileName }}	{{ f.uploadedDate\| date:'MM/dd/yyyy @ h:mma' }}

Begin typing to search for a client

ID	Name	Status	Type	Action
{{ client.clientId }}	{{ client.name }}	{{ client.status }}	{{ client.type }}

ID	Name	NPI	Address	Action
{{ ipaFacility.entityId }}	{{ ipaFacility.facilityName }}	{{ ipaFacility.npi }}	{{ ipaFacility.address }}

File Name	Uploaded Date	Action
{{ f.fileName }}	{{ f.uploadedDateLong \| date:'MM/dd/yyyy @ h:mma' }}

Note	Updated	Action

Status	Description	Sent	Received	Original Updated Date	History Created Date
No History Data Available
{{ history.credentialStatus.status }}	{{ history.description }}	{{ history.dateSent \| date: 'MM/dd/yyyy'}}	{{ history.dateReceived \| date: 'MM/dd/yyyy'}}	{{ history.updatedDateAsLong \| date: 'medium' }}	{{ history.createdDateAsLong \| date: 'medium' }}

Privilege Set	{{ e.entityName }}
{{ p.name }} {{ p.name }}
{{ r.name }} {{ r.name }}

Created Date	Created By	Updated Date	Updated By	History Date
{{ rmd.createdDate }}	{{ rmd.createdBy }}	{{ rmd.updatedDate }}	{{ rmd.updatedBy }}	{{ rmd.auditDate }}

ID	{{ main.currentPractitionerFile.practitionerFileId }}
Name
Description
Sequence
Category
Client (if applicable)
Parent (if applicable)
File	Select Files {{main.currentPractitionerFile.fileName}}
Update Date	{{ main.currentPractitionerFile.updatedDateAsLong \| date:'medium'}}

Source
Month
Licenses
Bot
File	{{main.currentSanctionFile.practitionerFileView.name}} Select Files

Run CAQH Bot:

Add a note to multiple practitioners at multiple facilities associated with {{ main.currentClientHealthPlanForEntities.carrierAndPlanName}}:

({{ associatedGroupPlan.plans.length }} {{ associatedGroupPlan.plans.length > 1 ? 'Plans' : 'Plan' }}) Show ({{ associatedGroupPlan.plans.length }} {{ associatedGroupPlan.plans.length > 1 ? 'Plans' : 'Plan' }}) Hide

Health Plans

Practitioner Health Plan Details

Files

PDM Facilities

Latest Notes: Practitioner PDM Facility

Practitioner PDM Facility

Facility Privileging

Contact Information

Privileges & Access

Department Chair or Program Director

Privileges & Access

Files

All Forms

Please select a Form {{ main.currentForm.name }}

{{ main.currentSection.name }} Select a Section

{{ main.currentQuickUpdate.subsection.subsectionName }} Select a Subsection

Please select a {{ main.currentQuickUpdate.title }}

Overview

Notes

Audit

Risk Score

Packet

Please select a {{ main.currentQuickUpdate.title }}

Select Search Criteria. (Hold Ctrl while clicking for multiple selection)

Select the section(s) you do not want to include in the report. (Hold Ctrl while clicking for multiple selection)

Notes

Files

School {{$index+1}}

Run CAQH Bot:

Add a note to multiple practitioners at multiple facilities associated with {{ main.currentClientHealthPlanForEntities.carrierAndPlanName}}:

({{ associatedGroupPlan.plans.length }} {{ associatedGroupPlan.plans.length > 1 ? 'Plans' : 'Plan' }}) Show ({{ associatedGroupPlan.plans.length }} {{ associatedGroupPlan.plans.length > 1 ? 'Plans' : 'Plan' }}) Hide

Health Plans

Practitioner Health Plan Details

Files

PDM Facilities

Latest Notes: Practitioner PDM Facility

Practitioner PDM Facility

Facility Privileging

Contact Information

Privileges & Access

Department Chair or Program Director

Privileges & Access

Files

All Forms Please select a Form {{ main.currentForm.name }} {{ main.currentSection.name }} Select a Section {{ main.currentQuickUpdate.subsection.subsectionName }} Select a Subsection

Please select a {{ main.currentQuickUpdate.title }}

No Clients Available

{{ cpd.clientName }}

Overview

Notes

Audit

Risk Score

Packet

Please select a {{ main.currentQuickUpdate.title }}

Select Search Criteria. (Hold Ctrl while clicking for multiple selection)

Select the section(s) you do not want to include in the report. (Hold Ctrl while clicking for multiple selection)

Run ABMS Verification

Search Criteria

Personal Information

Add {{ main.currentPractitionerDetails.firstName }} {{ main.currentPractitionerDetails.lastName }} to Work Queue

Audit Record

Communication Details

Send a Text Send a Fax Send an Email Initiate a Phone Call

{{ main.currentCommunication.description }}

Edit Alert for {{ main.currentPractitionerDetails.firstName }} {{ main.currentPractitionerDetails.lastName }}

Files for {{ main.currentClientHealthPlanForEntities.carrierAndPlanName }}

Files

Notes for {{ main.currentClientHealthPlanForEntities.carrierAndPlanName }}

Fee Information

Overview

Invoice Details View PDF

Create a New Alert for {{ main.currentPractitionerDetails.firstName }} {{ main.currentPractitionerDetails.lastName }}

Associate {{ main.currentPractitionerDetails.firstName }} {{ main.currentPractitionerDetails.lastName }} with a Client

Associate {{ main.currentPractitionerDetails.firstName }} {{ main.currentPractitionerDetails.lastName }} with an IPA Facility

Create a New Alert for {{ main.currentPractitionerDetails.firstName }} {{ main.currentPractitionerDetails.lastName }}

Continuous Query Enrollment Status

Continuous Query Response

Submit Continuous Query to NPDB

Personal Information

Home Address

Work Address

Professional and Licensure

Professional Schools Attended

School {{$index+1}}

Identification Numbers

Facilities

Certifier Information

Request Degree Verification from National Student Clearinghouse

Files for {{ main.currentClientHealthPlanForEntities.carrierAndPlanName }} at {{main.currentEntityHealthPlan.entityName}}

Notes for {{ main.currentClientHealthPlanForEntities.carrierAndPlanName }} at {{main.currentEntityHealthPlan.entityName}}

History for '{{ main.practitionerProcessHistoryName }}'

Add a file to {{ main.currentProcess.credentialProcessName }}

File '{{ main.currentPractitionerFile.name }}'

Monthly Sanction Verification File

Add a file to {{ main.currentClientHealthPlanForEntities.carrierName }}: {{main.currentClientHealthPlanForEntities.planName}} ({{ main.currentClientHealthPlanForEntities.planNumber }})

Add a file to {{ main.currentHealthPlan.carrierName }}: {{main.currentHealthPlan.planName}} ({{ main.currentHealthPlan.planNumber }})

Add a file to {{ main.currentEntityHealthPlan.carrierName }}: {{main.currentEntityHealthPlan.planName}} ({{ main.currentEntityHealthPlan.planNumber }}) at: {{ main.currentEntityHealthPlan.entityName }}

Add a file

Audit Records for {{ main.currentCredentialingEvent.workflow.credentialProcessGroupType.value }}

Details for {{ main.currentCredentialingEvent.workflow.credentialProcessGroupType.value }}

General Information

Important Dates

Notes for {{ main.currentCredentialingEvent.workflow.credentialProcessGroupType.value }}

Risk Score: {{ main.currentCredentialingEvent.riskScoreName }} ({{ main.currentCredentialingEvent.riskScore }})

{{ r.name }}

{{ r.riskScoreName }} ({{ r.riskScore }})

Change Step Owner

All Forms

Please select a Form {{ main.currentForm.name }}

{{ main.currentSection.name }} Select a Section

{{ main.currentQuickUpdate.subsection.subsectionName }} Select a Subsection