Commercial

How to Get Credentialed with Alignment Healthcare in Nevada

Network: Open
30-60 Days CAQH Required

Quick Overview

Timeline

30 - 60 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Nevada-Specific Requirements

Alignment Healthcare Nevada. Medicare Advantage plans. Service areas include Clark County (Las Vegas metro). Apply via Alignment Healthcare provider portal or CAQH ProView. Technology-driven ACO model with ACCESS On-Demand platform. Senior-focused care management and risk-based contracting. Active Nevada medical license, NPI, Medicare enrollment (PECOS), and malpractice insurance required. Processing: 30-60 days.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Nevada.

2

Complete Your CAQH ProView Profile

Alignment Healthcare requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.

3

Submit Your Application

Submit your completed enrollment package to Alignment Healthcare.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Free Consultation

Need help enrolling with Alignment Healthcare?

Our specialists handle the entire Alignment Healthcare enrollment process: applications, follow-ups, and approvals in Nevada.

Required Documents Checklist

Board Certification

Conditional

Required if board certified; highly recommended

CV/Resume

5-year work history minimum

DEA License

Conditional

Required if prescribing controlled substances

Malpractice Insurance

Current malpractice insurance certificate

Medical License

Active state medical license required

NPI Certificate

Active NPI number required

Key Credentialing Terms

CAQH
The Council for Affordable Quality Health Care, an organization that maintains a universal provider database (CAQH ProVi...
Credentialing
The process of verifying a healthcare provider's qualifications, training, licensure, and professional background to ens...
Effective Date
The date on which a provider's enrollment or network participation becomes active, allowing them to begin billing a paye...
NPI
The National Provider Identifier is a unique 10-digit identification number issued by CMS to healthcare providers, requi...
Primary Source Verification
The process of verifying a provider's credentials directly from the original issuing source, such as medical schools, li...
Provider Enrollment
The process by which a healthcare provider applies to participate in an insurance payer's network, allowing the provider...
Re-credentialing
The periodic process, typically occurring every three years, in which a provider's credentials are re-verified to ensure...

Credentialing Checklist

Make sure you have everything ready before applying to Alignment Healthcare.

View Physician Credentialing Checklist →

Contact Information

Provider Credentialing

National

1-844-310-2247

Mon-Fri 8am-5pm

Provider Services

National

1-844-310-2247

Claims & Billing

National

1-844-310-2247

Need Help?

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Reviewed by the PayerReady Credentialing Team

Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.

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