Engaged: An engaged provider is one who is invited by their sponsoring organization to claim their wallet and who then completes or verifies their credentials and shares with the sponsoring organization.
Unengaged: Demographic and professional information of unengaged providers is uploaded by the organization. Providers do not review or complete the information themselves and so their identities are not verified. Some automated credential checking can take place to support continuous monitoring.
Initial Appointment: The first time a provider’s information is input into Axuall. This may coincide with the implementation of Axuall and may not be the provider’s initial appointment with their organization.
Reappointment/Recredentialing: Any subsequent time a provider’s information is updated and reconfirmed in Axuall.
Continuous Monitoring: The process of continuously checking relevant primary source data for adverse events that may impact a provider’s ability to practice medicine (e.g., NPDB, Medicare opt out, etc.)
Recipe: The specific mix of credentials and field validations required by an organization to practice on their behalf. Recipes vary by client, by clinician type and by credentialing event.
Wallet: The complete digital history of a clinician’s education, training, certifications, work history, sanctions, and other items required for employment.
Attested Data: Refers to information provided by a clinician that has not been verified through a primary source. This data is input directly by the clinician or provided by a customer and includes details such as the clinician's name, address, phone number, and clinical license numbers. Since Axuall does not have evidence to verify this data, it is presented as entered by the clinician without any accompanying artifacts or metadata. This means that attested data cannot be fully trusted until it undergoes a verification process.
Verified: Refers to information that has been obtained directly from a primary source, such as a state-provided website that verifies a clinician's license. The process begins with attested data, which is information provided by the clinician or a customer. Axuall's technology then connects to the relevant primary source to verify this information. Once verified, the data is considered accurate and reliable because it cannot be altered by the clinician. This ensures the integrity of the data, making it suitable for clinical credentialing.
Adverse Event
An injury or death that occurs when a patient has received healthcare services from a provider.
Board Certification
The certification of a medical doctor (MD) in a specialty or subspecialty by the American Board of Medical Specialties (ABMS).
Credential
Specific information about an individual’s identity and abilities, which can be presented in various forms such as an image of a passport, state medical license webpage, or a PDF of a college transcript.
Credentialing
The process of collecting, verifying, and assessing the qualifications of a clinician to provide patient care. This involves academic institutions, state medical boards, federal healthcare agencies, insurance providers, and healthcare facilities.
CVO (Credentials Verification Organization)
An organization certified to verify provider credentials.
DEA (Drug Enforcement Agency) Registration Numbers
Unique 9-character identifiers consisting of 2 letters and 7 digits (e.g., “AB1234567”).
Medical License
Required to practice medicine in the US, issued by the state where the individual intends to practice.
Acronyms
AMA
American Medical Association
APRN
Advanced Practice Registered Nurse
CMS
Centers for Medicare and Medicaid Services
DEA
Drug Enforcement Administration
MD
Allopathic physician of medicine
NP
Nurse Practitioner