An association of hospitals, physicians and other healthcare providers serving residents of Montana and Idaho.

An association of hospitals, physicians and other healthcare providers serving residents of Montana and Idaho.


 

 

Provider Search
       A quick and easy way to search for participating providers using a variety of search criteria.

 

 

       A quick and easy way to search for participating providers using a variety of search criteria.

 

 

Credentialing

Monida credentials its members according to standards established by the National Committee on Quality Assurance (NCQA).  These standards include primary source verification of each applicant's education, licensing, malpractice insurance coverage and board certification.  In addition, we have adopted rules addressing issues such as hospital privileges, call coverage, use of locum tenens and medical malpractice claims.  Every member must meet these criteria (except in rare instances when the Board may grant an exception).

One advantage of being credentialed by Monida relates back to participation in Monida's payer contracts.  If you contract directly with a payer, each payer will require you to undergo credentialing and recredentialing.  When Monida negotiates contracts, we expect payers to delegate credentialing to Monida.  If you are credentialed with us, you are credentialed for all of our payers, reducing the significant burden on you and your staff involved in keeping your paperwork up to date with multiple payers.

Monida credentials its members according to standards established by the National Committee on Quality Assurance (NCQA).  These standards include primary source verification of each applicant's education, licensing, malpractice insurance coverage and board certification.  In addition, we have adopted rules addressing issues such as hospital privileges, call coverage, use of locum tenens and medical malpractice claims.  Every member must meet these criteria (except in rare instances when the Board may grant an exception).

One advantage of being credentialed by Monida relates back to participation in Monida's payer contracts.  If you contract directly with a payer, each payer will require you to undergo credentialing and recredentialing.  When Monida negotiates contracts, we expect payers to delegate credentialing to Monida.  If you are credentialed with us, you are credentialed for all of our payers, reducing the significant burden on you and your staff involved in keeping your paperwork up to date with multiple payers.