AARP Provider Enrollment Services
AARP guarantees that the managed care credentialing process is used to its full potential by proactively coordinating and tracking all information in all providers’ credentialing files. Compassion is more important than ever in our world. Our communities require compassion, and our families require security. With our combined resources, the Aarp Provider Enrollment Service is dedicated to creating healthy communities, advocating for the poor and disadvantaged, and pioneering how and where healing can take place both inside and outside of our institutions. We’re expanding in a variety of ways, including across borders and, most importantly, in the way we think. It’s not about inventing another gadget here; it’s about altering the healthcare business.
Our Specialist Will Get You Enrolled with Aarp
Aarp provider enrollment is responsible for all activities involved with credentialing or re-credentialing physicians and providers fall under this function’s purview. Processes provider applications and re-applications, including initial mailing, evaluation, and loading into the database tracking system, all while maintaining high-quality requirements. Aarp provider Conducts audits and provides feedback in order to eliminate errors and enhance processes and performance. The creation of credentialing policies and procedures is our responsibility. It’s possible that you’ll be in charge of primary source verification.
Aarp Provider Primary Responsibilities
- Receive and examine the application as well as any supporting documentation (such as a questionnaire, attestation form, or insurance document) in order to make a decision.
- Whenever appropriate and required information is included
- Responsible for validating the information that has been submitted
- Refer the completed application and supporting documentation to the internal teams that will approve or deny network access.
- To get missing information, contact and follow-up with the provider if needed, and/or seek assistance from the recruitment team.
- Determine whether or not there is a need for process improvement in the provider application process.
- Provide feedback on policy changes or updates, and/or respond to requests for corrective action relating to provider application processes and documents.
- Internal and/or external participants should be educated about the application procedure
- Distribute files to relevant members (such as credentialing coordinators) for verification and/or entry into appropriate systems.
You’ll be rewarded and acknowledged for your efforts in an environment that will both push you and provide clear direction on what it takes to be successful in your current career while also preparing you for future opportunities.
Aarp Providers Qualification Requirements
Practitioners must meet the following minimum qualifications in order to join a provider network:
License to Practice
Providers must have a current, valid, and unrestricted license to practice
DEA Certificates
Practitioners must have a current valid DEA Certificate (as appropriate to their specialty) as well as a current Controlled Dangerous Substance (CDS) or Controlled Substance Registration (CSR) certificate.
Work History
A minimum of five years of relevant work experience as a health professional is required of practitioners.
Board Certification
Providers must be Board Certified in the specialty they practice as an Aarp practitioner or have verifiable educational/training in the specialization required from a recognized training institution.
Hospital Admitting Privileges
Aarp providers may have hospital admitting privileges or may have a formal agreement with another Aarp participating Provider who has admitting privileges at an Aarp-participating hospital for member admission
Liability insurance
All Aarp providers (all disciplines) are required to carry and maintain professional liability insurance unless WellCare has given written permission.
How We Approach Our Work
AARP Services defies convention and inspires new ideas, completing our mission with kindness, persistence, and a shared vision. We have a profound understanding of the needs of consumers. By combining our deep data insights, new tools, and strategic and creative capabilities, we are able to develop profitable and long-lasting relationships between members and practitioners.
Aarp Re-credentialing
After three years in the network, you will be notified that your professional qualifications must be re-credentialed to guarantee that they remain valid and current. Instructions pertaining to your specialization will be included in the notification.
- If your application is current and on CAQH ProView, you may not need to take any action during re-credentialing.
- You can update your services or service area with CAQH ProView open in new. Open in new at any time.
After the Aarp provider receives all needed supporting papers, your provider re-credentialing file is considered complete after 5 business days.
Re-credentialing lets you change the practice locations and contact information we use in the patient-accessible Provider Directory. National accrediting agencies, as well as state and federal regulatory authorities, impose credentialing criteria.
Aarp Credentialing Phone Number
If you have any questions about AARP health insurance products (e.g., claim status, plan coverage, etc.), please contact customer support at 1-888-687-2277.
Aarp Provider Enrollment Application
- To get started, click the Fill & Sign Online button or click the document preview image
- The editor’s advanced tools will walk you through the editable PDF template
- Fill up the blanks with your official contact and identity information
- Fill in the blanks with a check mark to indicate your choice
- To ensure complete accuracy, double-check all of the fillable fields
- To sign now the Aarp membership form, use the Sign Tool to create and add your electronic signature.
- After you’ve finished filling in the blanks, click done
- The document is now ready to print, save, or share
If you have any questions, please refer to the Support section or contact our Support team.
By making use of Sign Now’s complete solution, you’re able to carry out any required edits to Aarp membership form, make your personalized electronic signature within a few fast actions, and streamline your workflow
Aarp Enrollment Status
Send an email to Stars Proto inquire about the status of your credentialing application. Please include the entire name, tax ID, and National Provider Identifier of the care provider (NPI).
