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Quality measures can show how well a health care professional provides care to people with Medicare. The Physician Quality Reporting System (PQRS) is a Medicare program encouraging health care professionals and group practices to report information on their quality of care.

Board certification is verified through the sources listed above. The health plan verifies a provider’s board certification when the provider first contracts with the health plan and every three years following.

American Board of Podiatric Orthopedics.American Board of Foot and Ankle Surgery.A doctor that has a board certification listed is certified or approved by that medical specialty board.īoard certifications are verified with one of the following: To become board certified, a doctor must complete the necessary educational requirements and a residency training in their specialty, pass an exam, and meet all the requirements established by their specialty board. Board Certification Informationīoard certification is an extra step many doctors chose to take. Plan enrollees may file a complaint with the Washington Office of the Insurance Commissioner by calling the commissioner's toll-free insurance consumer hotline at 1- 80 or įor information concerning any disciplinary action or malpractice history for Washington providers, please use this link: īeginning of dialogue content. Important Mental Health and Substance Use Disorder Treatment InformationĬarrier discipline findings by WA OIC for failure to meet access standards: None issued to date Patient safety measures or cost-related measures to determine our networks, including our Marketplace networks. Providence Health Plan does not currently use specific quality measures, member experience measures, Practitioners and hospitals in the Providence Health Plan networks must meet Providence Health Plan credentialing requirements. Please be sure to have the provider(s) and/or facility name, location and description of the error available. To report information you believe to be listed inaccurately in the provider directory, please call 80, send an email to or login to your myProvidence account and use the secure chat feature. Verify that he or she is covered by your plan and is accepting new patients. You may do this by contactingĬustomer service at 80 or by calling the provider prior to scheduling an appointment to

Verify that the provider you have selected is covered by your plan. For the most up-to-date information, please Revisions to this directory may not be made immediately. Information listed in this directory is not guaranteed and may be subject to change without notice. Providence makes every effort to ensure that this list of providers is up to date and accurate.
