Credentialing of Primary Care Providers Sample Clauses

Credentialing of Primary Care Providers. All PCPs, WHCPs, and specialists who agree to be PCPs must be credentialed by the Contractor. If the Contractor utilizes a single-tiered credentialing process, the Contractor shall not assign Enrollees to a PCP or WHCP until such Provider has been fully credentialed. The Contractor must notify the Department when the credentialing process is completed and provide the results of the process.
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Credentialing of Primary Care Providers. All PCPs, WHCPs, and specialists who agree to be PCPs must be credentialed by Contractor. The credentialing process may be two-tiered, and Contractor may assign Enrollees to a PCP or WHCP following preliminary credentialing, provided that full credentialing is completed within a reasonable time following the assignment of Enrollees to the PCP or WHCP. Contractor must notify the Department when the credentialing process is completed and provide the results of the process. If Contractor utilizes a single-tiered credentialing process, Contractor shall not assign Enrollees to a PCP or WHCP until such Provider has been fully credentialed.

Related to Credentialing of Primary Care Providers

  • Credentialing The Provider will maintain written documentation confirming that each individual providing services under this agreement has and maintains the requisite credentials. Any change in status regarding any credentialing requirements must be reported in writing, by the Provider to the Department's Credentialing Contracted Agent, within thirty days.

  • Provider Credentialing Contractor shall perform, or may delegate activities related to, credentialing and re-credentialing Participating Providers in accordance with a process reviewed and approved by State Regulators.

  • Credentialing Requirements Registry Operator, through the facilitation of the CZDA Provider, will request each user to provide it with information sufficient to correctly identify and locate the user. Such user information will include, without limitation, company name, contact name, address, telephone number, facsimile number, email address and IP address.

  • Your Guide to Selecting a Primary Care Provider (PCP) and Other Providers Quality healthcare begins with a partnership between you and your primary care provider (PCP). When you need care, call your PCP, who will help coordinate your care. Your healthcare coverage under this plan is provided or arranged through our network of PCPs, specialists, and other providers. You’re encouraged to: • become involved in your healthcare by asking providers about all treatment plans available and their costs; • take advantage of the preventive health services offered under this plan to help you stay healthy and find problems before they become serious. Each member is required to provide the name of his or her PCP. However, if the name of a PCP is not provided with the application, your enrollment will not be delayed and your coverage will not be cancelled. How to Find a PCP or Other Providers Finding a PCP in our network is easy. To select a provider, or to check that a provider is in our network, please use the “Find a Doctor” tool on our website or call Customer Service. Please note: We are not obligated to provide you with a provider. We are not liable for anything your provider does or does not do. We are not a healthcare provider and do not practice medicine, dentistry, furnish health care, or make medical judgments.

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