Transcription of UnitedHealthcare Credentialing Plan
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UnitedHealthcare Credentialing Plan
This Credentialing and Recredentialing plan may be distributed to Physicians, other health care professionals and Facilities upon request. Additionally, a Credentialing Entity may distribute this plan to entities that have applied for delegation of the Credentialing Credentialing Plan2021 2023 UnitedHealthcare Credentialing plan 2021 2023 iiTable of ContentsSection 1 Introduction ..1 Section Purpose ..1 Section Credentialing policy ..1 Section Authority of Credentialing entity and changes to Credentialing plan ..1 Section 2 Definitions ..2 Section 3 Responsibilities of Board of Directors, National Credentialing Committee, medical directors, hearing panels and applicants ..5 Section Credentialing entity board of directors (Board of Directors) ..5 Section Medical director ..5 Section National Credentialing Committee ..5 Section Process for initial Credentialing and recredentialing of LIPs.
Delegation Agreement. • Credentialing Delegation Agreement is a mutually agreed upon contract or other document by which Credentialing Entity delegates specified Credentialing responsibilities to Delegated Entity, and requires Delegated Entity to meet certain standards related to its Credentialing and Recredentialing responsibilities.
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