← Readiness queue
PRV-4005
Action neededSynthetic provider file · no real PII / no PHIRadiologist (tele) · Radiology · TRH — Imaging (contracted)
Weighted readiness
86
4/6 checks verified
Deadline
9d
Privilege renewal due 2026-07-21
Flags
2 attentionexclusion flag
Primary-source verification checklist
| Dimension | Status | Detail | Primary source | Weight |
|---|---|---|---|---|
| State medical license | Verified | Active (multi-state) | TMB primary source (batch PSV) | 25% |
| DEA registration | Verified | N/A for tele-rad reads | DEA CSA registry (batch) | 15% |
| Board certification | Verified | ABR current | ABMS (batch) | 15% |
| Payer enrollment (BCBSTX) | Pending | Group roster update pending | BCBSTX enrollment export | 20% |
| OIG-LEIE / SAM exclusion | Pending | Awaiting next batch screen (multi-state) | OIG-LEIE + SAM.gov (batch) | 15% |
| Malpractice coverage | Verified | Current | COI on file | 10% |
Evidence provenance
- Owner
- L. Nguyen
- Evidence
- Credentialing packet PRV-4005 · PSV batch 06-30
Readiness workflow
Demo action — resets on reload · not persistedChronology & session activity
- seed2026-06-28 — PRV-4005 surfaced by VERIFY readiness rule from the Credentialing + PSV batch extract · FY2026 Q3.
- seed2026-06-28 — Primary-source verification results reconciled against agreement scope and payer enrollment.