Credentialing Program. Provider agrees to meet and maintain NCQA and/or established industry standards for Provider credentialing adopted by the Avesis Credentialing Program as well as any other requirements that may be imposed by the Sponsor, from time to time. These include, but are not limited to, current licensure; current certifications, as appropriate; professional liability insurance coverage; compliance with continuing education requirements; and such other requirements and qualifications as may be required by Avesis, Sponsor or any State or Federal agency. Failure to cooperate with the credentialing or recredentialing process may result in payment for services rendered being withheld until all recredentialing materials have been received by Avesis. Provider further agrees to notify Avesis of subsequent changes in status of any information relating to Provider’s professional credentials. None of Avesis’ or Sponsor’s utilization management, quality management, credentials verification or provider sanction programs shall either a) override the professional or ethical responsibility of the provider or b) interfere with the provider’s ability to provide information or assistance to members.
Credentialing Program. Provide administrative support to Practice as necessary to obtain and verify credentialing information in accordance with applicable laws, standards and Practice requirements, including but not limited to the following activities:
Credentialing Program. Provider agrees to adhere to all of the requirements established by the Avesis Credentialing Program. Avesis credentialing process can be found in the Avesis Provider Manual.
Credentialing Program. Participating Provider agrees to meet and maintain NCQA and/or established industry standards for Participating Provider credentialing adopted by the Avesis Credentialing Program as well as any other requirements that may be imposed by the Sponsor, from time to time. These include, but are not limited to, current licensure; current certifications, as appropriate; professional liability insurance coverage; compliance with continuing education requirements; and such other requirements and qualifications as may be required by Avesis, Sponsor or any State or Federal agency. Failure to cooperate with the credentialing or recredentialing process may result in payment for services rendered being withheld until all recredentialing materials have been received by Avesis. Participating Provider further agrees to notify Avesis of subsequent changes in status of any information relating to Participating Provider’s professional credentials. None of Avesis’ or Sponsor’s utilization management, quality management, credentials verification or provider sanction programs shall either a) override the professional or ethical responsibility of the provider or b) interfere with the provider’s ability to provide information or assistance to members.
Credentialing Program. Participating Provider agrees to meet and maintain NCQA and/or established industry standards for provider credentialing established by the Avesis Credentialing Program as well as any other requirements that may be imposed by the Sponsor, from time to time. These include, but are not limited to, current licensure; current certifications, as appropriate; professional liability insurance coverage; compliance with continuing education requirements; and such other requirements and qualifications as may be required by Avesis, Sponsor or any State or Federal agency.
Credentialing Program. Provider shall submit to Health Net or its designee any applicable vetting or Credentialing Application, which meets minimum requirements of Health Net. Provider or subcontractor shall not begin performing Provider’s obligations under this Agreement, until Provider and/or Facility has satisfied applicable vetting or credentialing or re-credentialing requirements, if any.
Credentialing Program. Practitioner shall participate with and cooperate in VBH’ credentialing program, including all applicable laws, licensure requirements, and standards of professional conduct, and represents and warrants that all information submitted to VBH in connection with such credentialing program is true, complete and accurate. Practitioner shall notify VBH immediately of any material change in such information. In the event Practitioner discovers that a claim, suit, criminal or administrative proceeding has been brought against Practitioner relating to the quality of services provided to Members or relating to Practitioner's compliance with community standards and applicable laws and regulations, then Practitioner shall notify VBH of such claims, suit or proceeding within five (5) working days. Practitioner understands that this Agreement may be terminated, or his/her participation in VBH’ programs may be suspended, for any failure to be in continuous compliance with VBH' credentialing standards.
