Transcription of Provider Manual - Optum Care Network
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Provider Manual - Optum Care Network
Optum care Network Provider Manual 2021 1 Table of Contents Welcome Letter .. 3 Provider Manual Overview .. 4 Delegation Defined .. 4 Contact Information .. 5 Practice Engagement .. 6 Summary .. 6 Practice Advocate Responsibilities .. 6 credentialing .. 6 Providers Joining Your Practice .. 7 Types of Providers Credentialed .. 7 Facilities Adding Location(s) .. 7 Types of Facilities Credentialed .. 7 Sub-Delegation of credentialing .. 8 Recredentialing .. 8 Corrective Action .. 8 Provider /Facility Rights .. 8 Changes to Your Practice/Facility .. 9 Termination of Participation .. 9 Closing your Practice .. 9 Contracting .. 10 Delegation by Plan.
The OCN credentialing program manual may be available upon request for additional details regarding corrective action, suspensions, terminations, and appeals. Provider/Facility Rights Providers and facilities have the right to review information submitted in support of their credentialing application.
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