Reference - Report Field Definitions
First Name - Provider first name
Middle Name - Provider middle name
Last Name - Provider last name
Suffix - Provider suffix (i.e. Jr., III, etc.)
Degree - Provider educational degree
Institution Name - Organizational Provider name - Also known as Health Care Delivery Organization (HDO) or Facility
Doing Business As - Organizational Provider Doing Business As name
Other Names - Other names by which the Provider may be known or as listed with other sources (i.e. state license boards, maiden name, etc.)
Primary Specialty - Provider specialty
Subspecialties - Provider sub-specialty
NPI Number - Provider NPI Number as verified with the NPPES
CAQH Number - Unique ID number rendered to the Provider by the CAQH
Client ID - Unique ID number rendered to the Provider by the Client
Designation - Client-specific, contracted role of the Provider (PCP, Specialist, Allied, Hospitalist, etc.)
Primary State - State in which the Client associated, Provider primary practice is located
Status - Where a particular Provider may be within or between an active credentialing cycle or event at any given time in its credentialing life cycle with Gemini.
Recredentialing Due Date - Client-specific next Recredentialing due date
Last Approved Date - Client-specific last credentialing committee approval date
Potential Termination - Indication that Gemini has received information from Provider/Provider group administration of the Provider's potential termination from Client's network (i.e. retired, no longer practicing with the group, deceased, declined compliance with the credentialing process, etc.). Client User may also choose to be notified via email, upon each Potential Termination occurrence (See Account Settings Article)
Leave of Absence - Indicates if a Provider status has been classified by a Client User as paused for an extended period of time, thus remaining active but all Gemini credentialing activity to stopped until removed from LOA status
Linked Plans # - Number of groups with which a Provider is affiliated within Alliance models, Managed Service Organizations (MSO) type Clients
Date Submitted - Date Client User uploaded the Provider application via Client Portal (Blank field indicates Provider application received outside of Client Portal upload, i.e. - Email/Fax directly from Provider)
Application Received Date - Date Provider application, as deemed preliminarily complete and current, is uploaded and registered in Gemini1 and placed in an In Process status (See Reference-Gemini1 Status Definitions)
CAQH Received - Date Provider's CAQH complete and current CAQH application and supporting documents were successfully downloaded from the CAQH into the Gemini application intake queue
Termination Date - Effective date of Provider termination entered by Client User upon performing Provider termination via the Client Portal
# of Attempts Made - Number of outreach attempts made by Gemini to Provider / 3rd party verification source for outstanding verification / information
Date of Last Attempt - Date of last outreach attempt made by Gemini to Provider / 3rd party verification source for outstanding verification / information
Data Entry Completed - Indication that the intake, preliminary application review, data entry/import, API/online verification portion (OIG, SAM, licensure, DEA, etc.) of the PSV process (In Process status) has been performed. NOTE: No Provider / 3rd party verification source requests are made in this part of the PSV process, as this occurs, if applicable, after Specialist Review part of the PSV process.
Specialist Review Completed - Indication that Data Entry Complete part of the PSV process has been performed and Provider / 3rd party verification source request(s), if applicable, have been made and waiting response or in QA Review being reviewed for final completion.
Verification Type - Verification type (Hospital, Work History, Missing Items - Provider related i.e. Malpractice Insurance, Attestation update / discrepancy, etc.)
Days in Process (Business) - Number of business days from the date the Provider application was received (Date Provider application, as deemed preliminarily complete and current, is uploaded and registered in Gemini1 and placed in an In Process status; number of days in In Process status.
Days in Process (Calendar) - Number of calendar days from the date the Provider application was received (Date Provider application, as deemed preliminarily complete and current, is uploaded and registered in Gemini1 and placed in an In Process status; number of days in In Process status
Aligned Recredentialing Due Date - Shared (earliest) next Recredentialing due date for Providers overlapping in multiple groups (Linked Plans), within Alliance models, Managed Service Organizations (MSO) type Clients
Standalone - Indication that the Provider, despite overlapping in multiple groups (Linked Plans), within Alliance models, Managed Service Organizations (MSO) type Clients, does not share the earliest Recredentialing Due date but keeps the Clients specific Recredentialing Due date, either permanently or over one Recredentialing three-year cycle
Credentialing Cycle Completion Date - Date all primary source verifications have been received and/or requested up to four (4) times with no response for an Initial or Recredentialing application; QA reviewed and completed and sent to Client and/or available for download on the Provider record Credentialing page and/or the Completed File report. Client will now be obligated to provide a Next Recredentialing due date via the Approve functionality on the Provider record Credentialing page, Provider Inventory report or Completed Files report
Unable to Verify - Indication that the Provider's Initial or Recredentialing application was completed with a verification element unable to be verified after up to four (4) Gemini requests/attempts with no response
Waived by Client - Indication that the Provider's Initial or Recredentialing application was completed with a verification element waived by the Client User
Actions to Take - Drop down of actions available to the User (terminate Provider, provide approval date, etc.)
Outstanding Verifications - Number of verifications needing to be obtained for a Provider application in the In Process status
Fast Track - Indication that the Provider application has been requested to be processed according the Gemini Fast Track (expedited) service, by Client User (see Client/Gemini Agreement and Gemini Policy & Procedure for Fast Track service details and additional pricing), if applicable.
High Priority - Indication that Provider application has been requested to be processed before a Client's Provider application previously submitted for processing
Notes - Details provided by Gemini staff pertaining to but not limited to communication between Provider/Gemini staff; pertinent details regarding verification status, etc.
Details - Details of Missing Items, which specifically pertain to any PSV document(s)/information needed from the Provider (Malpractice Insurance certificate, Claims details, attestation discrepancy, etc.)
Facility - 3rd party verification source from which outstanding verification/information is needed
Attempt Contact Info - Contact information to where Gemini outreach attempts are being made
Provider Group Name - Name of Provider practice/business, if applicable
Download - Indicates, if applicable, that a document may be available for User download