Be alert for important credentialing verification requests from Aperture

Doctors due to re-credential—or credential—should be alert for communications from a national credential verification organization, Aperture Credentialing, this spring. Credential verifications can be required of any health or vision plan that doctors contract with, and doctors can be dropped out of network by failing to respond.

Contracted to manage the administration of the credentialing process, namely, primary source verification of doctors' credentials, Aperture was also selected by a National Association of Vision Care Plans (NAVCP) alliance of ten managed vision care plans in December 2015. Those initial participating plans, include:

  • AlwaysCare
  • Davis Vision
  • EyeMed
  • eyeQuest
  • MESVision®
  • National Vision
  • Superior Vision
  • UnitedHealthcare/Spectera Eyecare Networks
  • Vision Benefits of America®
  • VSP® Vision Care

Failure to respond to Aperture's attempts to verify information will delay credentialing and re-credentialing, putting the doctor at serious risk of non-participation in plan networks. But the information requests-sent to the contact information that doctors reported to CAQH-might appear innocuous or unimportant, and could be easily overlooked.

The AOA requests Aperture improves its messaging to doctors, which, presently, could easily be mistaken for spam or phishing attempts. Such emails contain the doctor's name followed by a five-digit alphanumeric code starting with the letter "V" in the subject line, as well as a "donotreply" email sender. The AOA also questions the short response timing before a plan's termination notice is implemented.

The AOA also noted these concerns to NAVCP. In response, NAVCP Executive Director Julian Roberts told AOA they are "working diligently and feverishly with the Alliance team leads at Aperture to identify and resolve the issues you've brought to our attention to ensure that this credentialing process operates at optimal levels."