GHI's Provider Search Data Sources Guide
Data Sources
Below the sources of each data item and the data update process is described.
Information is collected from the Provider Application; therefore. It is self-reported and is validated every three years during the re-credentialing process or sooner based on provider notification.
Information is collected from the Provider Application and validated every three years during the re-credentialing process. For Board Certified Providers, information is collected from and verified by ABMS or AOA. For Non-Board Certified Providers, information is verified from the highest level of training and with the Licensing Board.
Practitioners must satisfy the requirements/standards of a nationally recognized specialty board and receive specialist certification from either ABMS or AOA. Board certification is verified by ABMS and AOA during the re-credentialing process every three years.
Updates are received daily from operational touch points and systems are updated. Sources include, Customer Services, Provider Relations, Credentialing, mail, faxes, calls made during outreach and the Web.
Below the sources of each data item and the data update process is described.
