Provider Search Data Sources Guide

Below are the key data sources found on EmblemHealth's provider search. The data update process is also described.

Hospital Information

Hospital information is collected from each facility’s application and validated every three years during the re-credentialing process, or sooner, based on facility notification. The Joint Commission identifies if a facility is accredited. Accreditation requires a facility to meet high performance based standards for quality and safety of care. This means that the facility would be certified for complying with a standard set of guidelines on a voluntary basis. For more information, please visit JointCommission.org.

Provider Information

Hospital Affiliation, Spoken Languages, Medical group affiliations
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.

Specialty
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.

Board Certified
Practitioners must satisfy the requirements/standards of a nationally recognized specialty board and receive specialist certification from either the American Medical Association (AMA) or the American Board of Medical Specialties (ABMS). Board certification is verified by ABMS and AOA during the re-credentialing process every three years.

Accepting new patients, Demographics (name, phone number, location)
Information is collected from the Provider Application. Updates are received daily from operational touch points and systems are updated. Sources include, Customer Service, Provider Relations, Credentialing and Re-credentialing, mail, faxes, calls made during outreach and the Web.

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