Verify Credentials
 
* = mandatory field entry

To verify the clinical privileges or medical staff memberships of a medical or
professional staff member and compose a verification letter, follow these steps:

1. Click the Verify Credentials link. The Verifying a Medical/Professional
    Staff Member
page is displayed.

2. Enter search criteria into any of the following fields that might be displayed.
  
    Last Name Type the last name or first few letters of the last name of the medical or     professional staff member.

    First Name Type the first name or first few letters of the first name of the medical
    or professional staff member.

    Organization From the drop-down list, select the organization where the medical
    or professional staff member has privileges. You can also type the first few letters
    of the organization to display and select it.

    Specialty From the drop-down list, retain the Any Specialty default selection or
    select the medical or professional staff member’s specialty. You can also type the
    first few letters of the specialty to display and select it.

    Birthdate mm/dd/yy Type the medical or professional staff member's birthdate
    in mm/dd/yy format.

    SSN Type the last four digits of the medical or professional staff member's Social
    Security Number.

3. Click the Submit Query button. The Search Results for Privileges page is
    displayed. Results for the provider or professional staff who met the criteria you
    entered are displayed in the Name, Specialties, Appt Date, and End Date fields.

4. Click the medical or professional staff member’s name. The Verification
    Requestor Information
form is displayed.

5. Enter the following information into any of the following fields that might be
    displayed:

    Requestor Title Select the verification letter requestor’s title from the drop-down
    list.

    Requestor Name Type the verification letter requestor’s name in First Name
    Last Name
format. If the requestor's name has been entered before, you can type
    the first few letters of the name to display and select it.

    Job Title Type the verification letter requestor’s job title. If the requestor's job title
    has been entered before, you can type the first few letters of the title to display and
    select it.

    Company Name Type the name of the company represented by the verification
    letter requestor. If the company name has been entered before, you can type the
    first few letters of the name to display and select it.

    Address(line 1) Type the street number and name in the company’s address. If
    the address has been entered before, you can type the first few numbers or letters
    of the address to display and select it.

    Address(line 2) If a second address field is displayed, if needed, type additional
    address information (for example, suite number) in the company's address. If the
    address information has been entered before, you can type the first few numbers
    or letters of the information to display and select it.

    City Type the name of the city in the company’s address. If the city name has
    been entered before, you can type the first few letters of the name to display and
    select it.

    State From the drop-down list, select the name of the state in the company's
    address. You can also type the first few letters of the state to display and select it.

    Zip Code Type the zip code in the company’s address. If the zip code has been
    entered before, you can type the first few numbers of the zip code to display and
    select it.

6. Do one of the following:

    •  Read any liability release statement that might be displayed. Click the Submit
        button to acknowledge you agree with the statement and to submit the
        verification request. The verification letter for the selected medical or
        professional staff member is displayed for viewing and printing. Click the
        browser Print button to print the letter.

    •  Click the Back to Results button if you don't want to submit the verification
        request. The Search Results for Privileges page is displayed. You can either
        click another medical or professional staff member's name and submit another
        verification request, or click the Back to Search button to return to the page.