Credentialing/Professional Review. Health Plan shall review the applications and credentials of health care providers applying for affiliation with Health Plan. Health Plan shall develop and coordinate review activities related to credentialing, quality management, and medical management, as described in the Provider Manual. Health Plan reserves the right to refuse or terminate affiliation status of any provider or Affiliated Provider.
Appears in 8 contracts
Samples: Provider Group Affiliation Agreement, Practitioner Affiliation Agreement, Provider Group Affiliation Agreement
