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What is NCQA

The National Committee for Quality Assurance (NCQA) is a nonprofit organization that sets standards and accredits health plans to ensure quality and accountability in healthcare delivery. For payers, NCQA’s requirements drive improvements in provider network management, compliance, and member satisfaction by emphasizing accuracy, transparency, and efficiency.

How to maintain compliance with NCQA standards

Important Deadline Updates for Healthcare Payer Accreditation

Healthcare payers, take note: attestation signature date limits are changing. For accredited or accrediting organizations, the window is now 180 days (down from 365). Certification timelines are also shortened from 305 to 120 days. These updates affect current applications—review your submission timelines carefully.

Blogs & case studies & eBooks for NCQA

Important products for Payers

symplr CVO

Access expert level support to address backlogs, or entirely delegate verification, licensure applications, and payer enrollment to our credentialing verification organization to realize faster application turnaround times and cost savings.

symplr Payer

symplr Payer is a robust workflow solution that automates and streamlines all aspects of provider data management for health plans and managed care organizations, including credentialing, contracting, network management, quality improvement, ongoing monitoring, and compliance.

symplr Directory

symplr Directory serves as a central hub for provider data management, provider outreach, search, and scheduling. Your data is optimized enterprise wide for use in electronic health records, websites, revenue cycle systems, and more.

Expedite credentialing, privileging, and enrollment without adding staff

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