UNMHS Credentials Verification Office

CVO Scope of Services

The UNMHS Credentials Verification Office is responsible for the following:

• Collect and process applications for initial appointment, reappointment for all credentialed providers.
• Obtain primary source verification (verifying all elements of application directly with source such as medical school, residency program, previous hospitals, licensing board and any other required source).
• Identify and investigate issues found during credentialing process.
• Assist in processing privilege forms and required documentation.
• Maintain credentialing database.
• Conduct ongoing monitoring of maintenance and renewal of licenses and certificates required for practice at UNM Health System.
• Conduct ongoing monitoring of sanctions or disciplinary actions such as licensure or Medicare/Medicaid sanctions.
• Maintain active and archived credentials files.
• Perform delegated credentialing for health plans.
• Assist in preparation and participate in credentialing portion of accreditation and regulatory surveys at health system components, as requested.