Ongoing Monitoring

Required Ongoing Monitoring done by Genesis Physicians Group

Ongoing verification

This is essential to stay compliant with regulatory requirements and health plan policies. These are completed monthly at the end of each month.

Texas Medical Board and National Practitioner Data Bank

Credentialing is notified via email when new reports have been filed or settled. We will reach out to the practitioner for a statement and any additional information or documentation to present to Peer.

Ongoing Credentialing Cycle

Your credentials will be reverified every 3 years.

In between re-credentialing cycles, Genesis team conducts ongoing monitoring as per NCQA, CMS, and HealthPlan guidelines to maintain your HealthPlan enrollment and ensure there are no disruptions in your revenue cycle.

It’s essential to continue keeping your CAQH profile current.

Ongoing Required Reporting

Weekly Reports		Monthly Report
1. Aetna	2. Humana*	1. Care N Care
3. BCBS	4. IMS	2. Coalition
5. Cigna	6. Majoris	3. Healthcare Highways
7. Coastal	8. Multiplan	4. Parkland
9. Galaxy	10. UHC	5. Superior
11. HeathEZ	12. USA	6. Wellpoint
13. HealthSmart	14. WellCare

*Humana exited the Commercial market effective 1/1/2025.

Membership Transition: Current members will remain covered until their plan expires.
Provider Agreement: Providers will continue to care for members until all members are fully transitioned.
Medicare Plans: This change does NOT impact Medicare plans, which will continue to be offered.

If you are currently enrolled in the commercial PPO plan, you will remain a participating provider and continue caring for enrolled members until the membership ends. No action is required on your part at this time.