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.
scope of the applicable license or certification under State law, solely on the basis of the license or certification. This does not preclude the Credentialing Entity from including in its Network Licensed Independent Practitioners who meet certain demographic or specialty needs such as, but not limited to, cultural needs of its Covered Persons.
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