Skip to the secondary navigation Skip to the content
LifeSynch offers web-based wellness tools, health coaching, and behavioral healthcare. Spacer
A credentialed provider

Recredentialing

LifeSynch providers are recredentialed on a three-year cycle in compliance with NCQA’s credentialing standards. At the time of recredentialing, LifeSynch asks providers to supply an updated application, licensure(s), certification(s), and professional liability insurance.

How Recredentialing Works

LifeSynch sends letters to providers notifying them that it is time for them to be recredentialed. Some providers will receive a recredentialing application, requesting updated licenses, insurance, etc. Others will simply receive a letter directing them to the LifeSynch Website where they can access the application mandated by their state.

As an alternative, providers may request that their CAQH application be used for recredentialing by providing their CAQH number.

When the recredentialing application is complete and all verifications are performed, the provider is presented to the Credentialing Committee for approval.

Two Ways to Submit a Recredentialing Application

Option 1: Use CAQH Process

Note: This is the required process for providers in Indiana, Rhode Island, Vermont and Washington, D.C.)

If you have a CAQH number, you may call the Credentialing Department at 1-800-890-8288 or fax the CAQH Information form to Attention: Credentialing Department 1-866-771-0574.

Submit Your CAQH Number via the CAQH Information Form
Download CAQH Information Form for All Providers (except CA)
(32 KB) Download PDF
English
Download CAQH Information Form for California Providers
(32 KB) Download PDF
English
Don’t Have a CAQH Number?
To learn more, visit the About CAQH section.

Option 2: Download Application (PDF)

Your recredentialing letter from LifeSynch may direct you to this web page to download your state’s recredentialing/credentialing form below.

Download the form for the state where you practice.

* Providers in Indiana, Rhode Island, Vermont, Washington, D.C., may not use the general recredentialing form. They must submit a copy of their CAQH application for recredentialing.

Printable Health Insurance Page From Humana