Updates - New Upload - Outstanding Verification
There may be instances whereby the Client receives a primary source verification PSV verified element/document/missing information requested by Gemini during the processing of the Provider/HDO prior to Gemini. The Outstanding Verification Upload area allows for a User to upload a PSV verified element, document, or information that is currently outstanding for a Provider or HDO and currently in the PSV process (In Process status). NOTE: Verifications that have not been obtained by the Client or Gemini may not be considered as primary source verification and will not be accepted as verification.
Functionality available on the Client page are as follows:
** Outstanding Verification Submission page is defaulted for uploads related to Provider. Should the User wish to upload PSV verified element, document, or information pertaining to an HDO currently In Process, the User must toggle ON the HDO.
Search - Within the "Search By:..." section on the Outstanding Verification Submission page, the User may search for an individual Provider for which the Provider's application is in process and verification element is being uploaded. Searches may be performed by Name, NPI Number, CAQH number, Client ID or Social Security Number. Upon entry of search criteria, once the correct Provider is found, the User will click on the Provider record which will then populate the required Provider Name field.
Verification (Entity) Type - The User will be required to classify the PSV verified element, document, or information being uploaded. The classification should directly correlate with the Verification (Entity) Type shown for the Provider/HDO on the Client's Outstanding Verifications report and/or the Provider's individual record Client and/or Credentialing pages.
The User may then drag and drop (or by browsing and selecting from the User's internal library) into the upload PDF file area and click the Upload bar. Thereafter, the User will have record of the uploaded outstanding verification details within the Updates-Upload History section of the Client Portal (See Updates-Upload History Article(s)).
** If there are multiple groups with which a Provider is affiliated within Alliance models, Managed Service Organizations (MSO) type Clients, the User may indicate the one uploaded PSV verified element, document, or information being uploaded to be submitted and processed for those multiple groups by clicking into the Clients drop down bar and selecting all applicable Client Groups. Therefore, it is not necessary for the User to upload the same PSV verified element, document, or information multiple times for each Client Group.
If a message appears indicating that a PDF file is too large, the PDF file can be saved as a Reduced Size PDF. In order to do so, select File, select Save as Other, and select Reduced Size PDF. It is recommended to consult Client internal IT resources to assist in the performance of the Reduce Size requirement.