Common use of Credentialing and Re-credentialing Clause in Contracts

Credentialing and Re-credentialing. Provider agrees to meet the credentialing and re- credentialing criteria, standards, and policies established by BCBSM, as may be amended from time to time. Provider shall comply with all credentialing and re-credentialing requirements set forth by CMS. These standards include maintenance of acceptable levels of any required liability insurance. BCBSM retains sole discretion to determine whether Provider shall be accepted as a Participating Provider pursuant to BCBSM’s policies, rules, procedures, and contracting and credentialing standards. To the extent BCBSM delegates the selection of providers to Provider, BCBSM retains the right to approve, suspend, or terminate such arrangement.

Appears in 4 contracts

Samples: Provider Agreement, Blue Cross Blue, Ppo Provider Agreement

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