Credentialing Services

All IHR providers must meet our credentialing requirements.  IHR maintains a highly qualified Credentialing Department which reviews the professional qualifications and competency of healthcare providers seeking membership, or contracted provider status, with the managed IPA or Medical Group.  The Credentialing process verifies information for each applicant relative to degree, license status, professional liability coverage, malpractice/sanction history, and hospital affiliations.  IHR utilizes the Council for Affordable Quality Healthcare (CAQH) in our credentialing process.

The credentialing policies and procedures enforced by IHR are intended to protect our members and ensure the highest quality providers.  Providers will be credentialed upon initial application to the network; re-credentialing occurs on average every two (2) years after initial approval. Once credentialed with IHR, physician’s applications will be submitted to the HMO’s for credentialing.  Once credentialed at the HMO, the physician’s name, practice address, phone number, and any additional information will be printed in the HMOs’ enrollment directories.

IHR’s credentialing department can assist your medical group needs by proactively reviewing, updating and maintaining the necessary licenses and records necessary to continue practicing.