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HOMEMEDICALCREDENTIALING & ENROLLMENTPRIMARY SOURCE VERIFICATION (PSV)
Expert Primary Source Verification (PSV) Remote BPO 4.9 ★★★★★ Google Rating

Primary Source Verification (PSV) Services

Outsourced primary source verification from Staffingly. State board APIs, NPDB, ABMS, AOA, DEA, OIG LEIE pulled in parallel. NCQA CR 3 aligned, Joint Commission ready. Senior CPCS / CPMSM lead signs every file. Live in 14 days. Our staff work from secured facilities in India, Pakistan, and Bangladesh.

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Quick Answer

What Is Primary Source Verification (PSV)?

What is primary source verification? Primary source verification (PSV) is the formal confirmation of a provider’s credentials directly from the issuing authority: state board for license, NPDB for malpractice and adverse actions, ABMS or AOA for board certification, DEA for prescribing authority, OIG LEIE for sanctions. NCQA CR 3 requires PSV at credentialing and recredentialing. Outsourced through Staffingly, the file builds in 7 days instead of 4 weeks.

Staffingly’s Primary Source Verification service builds NCQA CR 3 aligned PSV files for every clinician on the roster. The dedicated credentialing analyst pulls verification in parallel from state board APIs, NPDB query reports, ABMS or AOA board cert databases, DEA Active Registration database, and OIG LEIE. AI accelerates the watchful work; senior leads with CPCS or CPMSM credentials review and sign off on every file before submission.

Manual PSV takes 3 to 4 weeks because each source has its own portal, its own query process, and its own response timeline. Staffingly compresses this to 7 days by running every source query in parallel from day 1, using API access where available and structured query packets where it is not. The senior lead reviews on day 7. The completed audit-ready file ships on day 8.

Most groups pair primary source verification with NCQA credentialing file build, sanctions and exclusions monitoring, and provider credentialing and enrollment to keep panel coverage continuous.

HIPAA + BAA day 1 NAMSS-aligned Inside your portals
Key Takeaways

What you need to know about primary source verification

01

Staffingly’s primary source verification service builds NCQA CR 3 aligned files in 7 days. State board, NPDB, ABMS, AOA, DEA, OIG LEIE pulled in parallel.

02

In-house PSV runs $65K to $95K per FTE per year fully loaded and typically takes 3 to 4 weeks per file. Staffingly delivers the same scope at $399 per role per week and ships in 7 days.

03

Most practices go live in 14 days. Days 1-2 we audit existing files for NCQA gaps. By day 14 the PSV pipeline is operational and the first new files are shipping.

The Challenge

Why is primary source verification so hard for most practices?

PSV failures are quiet failures. The state board portal returned an unexpected status. The NPDB query came back with an entry that was never explained. The ABMS database showed a board certification gap that the provider could explain in 30 seconds but nobody asked. The file gets submitted to a payer or a hospital MSO, and 6 weeks later the application is denied for an issue that could have been resolved in 24 hours if anyone had read the PSV carefully.

Our Approach

How is Staffingly’s primary source verification different?

STEP 01

Dedicated Credentialing Analyst

One named analyst per practice, not shared staff. Learns the provider roster, payer mix, and exception rules for consistent results.

STEP 02

Payer-Specific Desks

Aetna, UHC, Cigna, BCBS, Humana, Anthem, Medicare PECOS, and 50-state Medicaid each get their own desk that owns the daily filing and panel activation feedback loop.

STEP 03

HIPAA + SOC 2 Day 1

Encrypted VPN, BAA before kickoff, annual audits. Provider data never touches a public LLM. Only HIPAA-aligned private stack.

STEP 04

AI-Augmented Workflow

CAQH attestation reminders, payer portal status checks, sanctions sweeps, and expirables alerts run on automation. A senior credentialing lead signs off on every payer submission.

STEP 05

CPCS / CPMSM Senior Leads

NAMSS-credentialed senior leads on every account where the engagement requires it. Audit-ready files, NCQA CR 1-7 alignment, Joint Commission privileging packets.

STEP 06

Weekly KPI Dashboard

Applications submitted, panels active, days outstanding by payer, recredentialing pipeline, expirables status. CFO and practice administrator-friendly weekly recap.

STEP 07

Month-to-Month

Scale up or down with 30-day notice. Replace any team member in 48 hours. No long-term contract, no setup fee on most engagements.

STEP 08

One Account Leader

A single U.S.-based account leader who owns results from day one. Multi-location groups get location-specific reporting under one roster of truth.

AI + AUTOMATION

AI + Automation in primary source verification

PSV has predictable structure: same sources, same query types, same response codes. AI handles the parallel querying and initial result triage. NAMSS-aligned analysts and CPCS / CPMSM senior leads do the human review on every file. Audit-ready files ship in 7 days, every time, with full audit log.

Parallel source querying

State board, NPDB, ABMS, AOA, DEA, OIG LEIE queried simultaneously from day 1. No serial waiting on any single source.

Result triage and gap detection

Returned data cross-checked against the application form. Mismatches and missing fields surfaced for senior review on day 5.

File package automation

Audit-ready file assembled with PSV evidence, query timestamps, source citations, and reviewer sign-off block. Ships on day 8.

HIPAA-compliant SOC 2 Type II ISO 27001 100% human reviewed
The Workflow

How does the primary source verification process work?

01

Discovery + roster review

Days 1-2. Provider list, specialty mix, payer panels, current credentialing status, expirables snapshot, and stuck-application triage.

02

CAQH + portal access

Days 3-7. CAQH delegate role, payer-portal credentials, baseline PSV, hospital MSO contacts confirmed. Workflows documented per payer.

03

Filing + chasing

Days 8-14. Applications filed, payer rep engagement begins, daily status updates, weekly review call with the practice administrator.

04

Pilot wrap

Day 15. Two-week pilot review against the agreed KPI baseline. Engagement decision: continue month-to-month or exit clean.

05

Performance tracking

Weekly KPI dashboard: applications submitted, panels active, days outstanding by payer, recredentialing pipeline, expirables status.

06

Continuous refinement

Monthly QBR with the practice administrator. Payer-rep relationships reviewed, panel coverage gaps closed, recred cadence held at 90 days early.

Transparent Weekly Pricing

One Flat Weekly Rate. No Surprises.

Dedicated credentialing specialists at a fixed weekly cost. 45 hours per week, fully managed. No contracts, no minimums, no hidden fees.

Single
$399/ week

One credentialing specialist, single-location practice

Enterprise
$299/ week

10+ specialists, multi-location health system or PE-backed group

All plans include dedicated credentialing specialists, payer portal access, EMR integration, and a 2-Week Risk-Free Pilot with a signed BAA. No long-term contract required.

Service Areas

Where can you get primary source verification services?

Our credentialing analysts work remotely inside CAQH, the payer portals, and the practice EMR. Wherever the practice is located, the same trained team delivers consistent primary source verification workflow and audit-ready output.

Healthcare practices across California, Texas, Florida, New York, Illinois, New Jersey, and every other state rely on Staffingly for primary source verification work. State-specific rules, payer mix, and exception protocols are tracked per engagement.

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FAQ

What are the most common questions about primary source verification?

What sources count as primary sources for PSV?
Per NCQA CR 3, primary sources include the state medical board for license verification, NPDB for malpractice and adverse actions, ABMS or AOA for board certification, DEA for prescribing authority, OIG LEIE for federal exclusions, SAM.gov for federal contractor exclusions, and state Medicaid exclusion lists. Education and training are verified through ECFMG (international medical schools) or AAMC FAIMER (US medical schools).
How long does primary source verification take?
Manual PSV typically takes 3 to 4 weeks because sources are queried serially. Staffingly runs queries in parallel and ships audit-ready files in 7 days. Senior lead review happens on day 7, file ships on day 8.
Is your PSV NCQA compliant?
Yes. Every PSV file is built to NCQA CR 3 standards: source documented, query timestamp captured, reviewer sign-off recorded, audit log preserved. Files pass NCQA delegated credentialing audits at over 90 percent first-pass rate.
Do you handle PSV for telehealth providers across multiple states?
Yes. Each state license is verified against the issuing state board separately. Multi-state telehealth providers with IMLC or telehealth-only licenses get the same parallel-query workflow.
How do you handle international medical graduates?
Education verification routes through ECFMG. Postgraduate training verifies through the actual training program if US-based, or ECFMG / AAMC FAIMER if international. The PSV file documents both the verification source and the equivalency determination.
Is your PSV service HIPAA compliant?
Yes. HIPAA-compliant workflows, SOC 2 Type II certified, ISO 27001 certified, HITRUST CSF aligned. BAA signed before day 1. PSV data is treated as PHI in our HIPAA-aligned private stack.
Can you re-verify on a recredentialing cycle?
Yes. Recredentialing PSV runs the same parallel query workflow against the same primary sources. The focus shifts to what may have changed since the last cycle: license renewals, new malpractice claims, sanctions hits, board cert changes.
Is there a long-term contract?
No. Month-to-month after the 14-day risk-free pilot. Scale up, scale down, or cancel with 30 days notice.
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