Valley Health Care Network (VHCN) is responsible for all
credentialing and re-credentialing of its members to ensure
participating physicians meet the most current National
Committee of Quality Assurance (NCQA) MCO Guidelines and
Standards for credentialing adopted by managed care companies.
By acting as the delegated interface between the managed care
companies and the PHO physician, VHCN helps to reduce the
administrative burden on it’s members by providing the
contracted managed care companies with all necessary documents
for its members.
On-Site Office Assessment
NCQA Guidelines and Standards require initial on-site office
assessments for primary care physicians, including OB/GYNs prior
to credentialing. VHCN has accepted the responsibility to
perform the site visits from the insurers who have delegated
this function to us. By performing this function, VHCN helps to
minimize the disruption to physician’s offices. VHCN’s one visit
eliminates the need for several insurance company visits.
Please contact Lola McShan, RN for more information at
(956) 389-6711.