Designed for Protection
Credentialing is a series of activities devised to collect, verify, and
investigate information. If not followed properly, credentialing can be
one of the highest risk procedures performed in healthcare organizations.
We specialize in credentialing.
We provide credentialing solutions such as:
- Essential services credentialing
- Primary source verification
- Optional services available that coordinate Medicare, Medicaid, CAQH, and
other necessary provider applications
Our Credentialing Authentication & Auditing Process
The University Physicians’ Association (UPA) serves practices throughout
Eastern Tennessee. We perform a labor intensive collection, verification,
and investigative pursuit in order to authenticate the accuracy and completeness
of the information provided. The information serves as an important foundation
for determining the training, experience, and competency of our healthcare
Following regulatory requirements for credentialing and periodic re-credentialing,
UPA ensures that the quality of membership is identified and defined so
that the practice’s patients receive high-quality care. UPA members
are assured compliance by audits that are conducted internally by the
UPA compliance office and externally by federal and state regulatory agencies,
Carrier Delegated credentialing audits to follow NCQA guidelines and The
Joint Commission (TJC).
The following list of websites contain useful resources regarding credentialing
in the state of Tennessee:
Physician Established. Physician Led. Physician Owned.
Our reputation for serving our members with ethical commitment and professional
skill continues to set UPA apart. We understand that complex and time-consuming
administrative issues can distract you from patient care. Our professionals
work alongside your practice to ease this burden. You can rely on us with
To learn more, feel free to contact our team
at UPA today; just dial (865) 670-6700.