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MANAGED CARE RESOURCE TOOLKIT - NAMSS

MANAGED care RESOURCE TOOLKIT AUGUST 2017 Approved by NAMSS Board of Directors November, 2016 Revised August, 2017 1 Table of Contents Summary .. 2 MANAGED care Credentialing Metrics .. 3-4 MANAGED care Tool to Credentialing and Primary Source Verification .. 5-8 Practitioner Types .. 5 Verify License .. 5 Verify Board Certification .. 6 Verify Education and Training .. 6 Verify Work History .. 7 Verify Hospital Privileges .. 7 Verify Malpractice .. 7 Verify NPDB .. 7 Query Sanctions.

4 Outstanding Required Application Verification (Verification Requests to performed online, sent by fax or secure email, or USPS) Letter One: Send Day Seven (7)

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  Toolkit, Care, Usps, Resource, Managed, Managed care resource toolkit

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