credentialing information

To join the CNC network, all providers must complete the credentialing process, which takes approximately 4 to 6 weeks. CNC strictly adheres to both URAC and NCQA guidelines for credentialing. Our providers are subject to criteria that examine education, certification, licensure, practice history, criminal history, malpractice history, 24-hour practice coverage, and patient satisfaction. All participating providers are subject to recredentialing every three years.

The credentialing process BEGINS when we receive a completed credentialing application with attachments, as requested in your application packet.  Please be aware that completion and submission of an application is not a guarantee of acceptance in our network.  CNC considers many factors prior to acceptance in the CNC network, including the need for additional providers in the geographic areas where the applicant plans to practice.

Once the credentialing process is complete, you will be notified of the credentialing committee’s decision,

in writing, via U.S. Mail.

Credentialing Instructions

North Carolina, South Carolina and Virginia professional providers are required to complete the North Carolina Department of Insurance’s Uniform Application to Participate as a Health Care Practitioner. 

Following these instructions carefully will assist in expediting the credentialing process.

Before submitting your application packet, please make sure that your packet contains:

1. The completed Blue Checklist attached to your application.
2. Signed and dated Attestation statement.
3. A completed W-9 form
4. Hold Harmless Agreement (for SC Providers only)
5. Completed application with current date and signature.
6. Copy of provider’s state license registration clearly showing expiration date.
• For NC providers, this is the large 8 1/2” x 11” license renewal showing the expiration date of your license.
  
• For SC providers, this is the small, wallet-size registration showing the expiration date of your license.
7. Explanation to all “Yes” responses on the “Professional Information” questionnaire.
8. Copy of the fact sheet of your current professional liability insurance policy indicating:
• Name of provider
  
• Minimum coverage amount of  $1,000,000/$3,000,000

  
  
• Effective date and expiration date (Policy coverage dates)
  
• Policy number
9. Complete work history, beginning with date you graduated from Chiropractic College.  All gaps of 90 days or more must be explained in writing on a separate sheet. (In completing the work history on page 8, you must begin with the date of your Chiropractic College graduation (on page 7). On page 8, list all work since the date you graduated from Chiropractic College through today’s date. If there are any gaps of 90 days or more, these gaps must be explained in writing on a separate sheet.

The Blue Checklist attached to your application must be completed and returned with the application.

You MUST NOT leave any sections blank. Please write N/A if not applicable.

If you have any questions while completing the credentialing application, please call us
at (704)895-8117, ext. 2.

Please call CNC to review the application by phone BEFORE mailing to CNC. This will significantly expedite the credentialing process!

Provider Rights:

The following rights are for each provider applying for credentialing and/or recredentialing with CNC: