Embedded Files
As of 9/26/24, we are no longer required to verify Alignment Board Certs, per a Change Control request.
Board Cert - Not Verified, as of 9/26/2024.
* If a Board Cert order has generated and is pending on the MedPass, follow these steps:
1. Close the order out as Not Found with this note: Board Certifications for Alignment are no longer required to be verified as of 9/26/2024.
2. Move the Board Cert verification on the MedPass to inactive by clicking on Move to Inactive, within the verification details.
Archived Process (the following process is no longer used, as of 9/26/2024):
For Alignment Board Cert verifications that fall under ABMS that require outreach for a signed release or mailed payments, we can verify using the Advantage ABMS data. Outreach is not approved for any Alignment providers. See below for the full process to access the Advantage ABMS Board Cert data to complete these Board Cert verifications.
1 - How to log onto Remote Desktop and Advantage.pdf2 - Accessing Providers via Communication Center.docx - Google Docs.pdf
4 - How to log off Remote Desktop and Advantage.pdfHow to complete the Board Cert order in EagleGate using the Advantage ABMS data:
1. Create a PDF of the ABMS results verification.
2. Complete the EagleGate order by entering data into the following fields:
First, Middle, Last Names: paste from verification
Specialty: paste from verification
Board Name: Use the Certifying Board listed on the verification to identify the full board name that falls under ABMS. Copy/paste from Board Sites tab listed under License Authority/Board Name.
Eligible Status: ACTIVE select Certified or Lifetime (if listed as Lifetime on verification), INACTIVE or NOT CERTIFIED select 'Not Certified', ELIGIBLE select 'Eligible' (listed as Eligible on verification)
Accrediting Agency: paste from Board Sites tab listed under Acronym or Accrediting Agency. (ALWAYS USE ACRONYM, NOT FULL NAME)
Board Cert Number: only populate if listed on verification
Effective Date: only populate if FULL date (MM/DD/YYYY) is listed on verification. The OLDEST Start Date **that does not have any gaps between the associated End Date to the following Start Date should be used.
Re-certification Date: only populate if FULL date (MM/DD/YYYY) is listed on verification. The most recent **Certification Start Date should be used.
Expiration Date: only populate if FULL date (MM/DD/YYYY) is listed on verification. **NOTE: For Advantum, BCBS of VT, Fresenius & UUHP, we need to use the re-verification date listed on the ABMS/Certifacts verifications as the expiration date.
Certification Date: same as Effective Date if FULL date is provided. The OLDEST Start Date should be used that does not have any gaps between the associated End Date to the following Start Date.
Authority Source: paste from Board Sites tab listed under License Authority/Board Name (MUST BE EXACT WORDING TO OVERRIDE TO MEDPASS)
Add an Internal note: Unable to obtain verification directly from the ABMS Board since outreach is required. The attached verification was completed in our Advantage system, using data received from the ABMS data file.
Certified, Active
Certified, Active
1. Copy/paste verification details into Notes.
2. Save and upload a PDF of verification (use printer friendly version if available). When saving the PDF, keep the file name as short as possible. The PDF file name cannot have too many characters, as well as any special characters, or it can cause issues with the PDF download. Make sure to download the PDF attached to the EagleGate order to ensure that the download will work.
3. Copy/paste from verification for all required fields (see FIELDS above).
4. Select the Eligible status 'Certified'.
5. Select Verified Status 'Active'.
6. Add Completed by <FIRST INITIAL LAST NAME> to end of notes.
7. Complete Order.
Not Certified, Inactive
Not Certified, Inactive
Provider was certified but is now Inactive (Expired):
Provider was certified but is now Inactive (Expired):
1. Copy/paste verification details into Notes.
2. Save and upload a PDF of verification (use printer friendly version if available). When saving the PDF, keep the file name as short as possible. The PDF file name cannot have too many characters, as well as any special characters, or it can cause issues with the PDF download. Make sure to download the PDF attached to the EagleGate order to ensure that the download will work.
3. Copy/paste from verification for all required fields (see FIELDS above).
4. Select the Eligible status 'Not Certified'.
5. Select Verified Status 'Inactive'.
6. Add Completed by <FIRST INITIAL LAST NAME> to end of notes.
7. Complete Order.
Eligible
Eligible
1. Copy/paste verification details into Notes.
2. Save and upload a PDF of verification (use printer friendly version if available). When saving the PDF, keep the file name as short as possible. The PDF file name cannot have too many characters, as well as any special characters, or it can cause issues with the PDF download. Make sure to download the PDF attached to the EagleGate order to ensure that the download will work.
3. Copy/paste from verification for all required fields (see FIELDS above).
4. Select the Eligible status 'Eligible'.
5. Select Verified Status 'Not Found'.
6. Add Completed by <FIRST INITIAL LAST NAME> to end of notes.
7. Complete Order.
Not Certified, Not Found
Not Certified, Not Found
Provider was NEVER certified or Incorrect Board Name was submitted:
Provider was NEVER certified or Incorrect Board Name was submitted:
Not Found Status: After all efforts were exhausted and the board certification is still not found or the board does not regulate the board certification type
Eligible status: Not Certified
Verified status: Not Found
Before returning an order as Not Found:
Search the MedPass and Piidat for alternate names or additional info to help locate the board certification
Try different variations of the last names when searching the board
Check to see if there are extra spaces or characters in the search
Make sure to follow the correct search format specific to the verification site
Populate all required fields from data listed on left side.
Clipping:
Clipping:
Using Online Search
Using Online Search
(Board Name):
*Unable to locate a record of the provider searching the (Insert name of board) online verification tool.
----------------------------
Completed by [FIRST INITIAL LAST NAME]
2. Select Verified Status 'Not Certified'.
3. Select Verified Status 'Not Found'.
4. Complete Order.
Not Certified in the Provided Specialty
Not Certified in the Provided Specialty
The specialty submitted within the order is not found, but at least one of the other specialties the board certifies can be found as certified:
The specialty submitted within the order is not found, but at least one of the other specialties the board certifies can be found as certified:
Not Found Status: After all efforts were exhausted and the board certification for the submitted specialty is still not found or the board does not regulate that specialty.
Eligible status: Not Certified
Verified status: Not Found
1. The verification for the certified specialty should NOT be listed in the notes. Add the following clipping for the not found specialty.
2. Save and upload a PDF of the verification of the specialty that is certified with the Board. When saving the PDF, keep the file name as short as possible. The PDF file name cannot have too many characters, as well as any special characters, or it can cause issues with the PDF download. Make sure to download the PDF attached to the EagleGate order to ensure that the download will work.
3. Populate all required fields from data listed on left side.
Clipping:
Clipping:
Using Online Search
Using Online Search
(Board Name):
*Unable to locate a record of the provider's specialty in (Insert name of board specialty that is not found) searching the (Insert name of board) online verification tool.
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Completed by [FIRST INITIAL LAST NAME]
4. Select Verified Status 'Not Certified'.
5. Select Verified Status 'Not Found'.
7. Complete Order.
Inactive Medpass/Inactive Order
Inactive Medpass/Inactive Order
Please check to see if the order you are on is listed under Inactive Verification's. If so, please send to follow up and DO NOT COMPLETE
Please Check EACH medpass for BCs, if the Medpass is Inactive, please reach out to a team lead to have the order moved to inactive verifications. Once it is moved you may complete it as an inactive verification using the clipping listed below.
Clipping:
*Verification Inactive on Medpass
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Completed by [FIRST INITIAL LAST NAME]
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