Common use of Credentialing Requirements Clause in Contracts

Credentialing Requirements. Practitioner shall comply fully with Health Plan credentialing requirements applicable to Practitioner and health care personnel supervised by Practitioner. Practitioner shall promptly notify Health Plan and Provider of any material changes in professional licensure, hospital privileges or other professional status. To the extent Health Plan delegates credentialing to Practitioner, Health Plan shall review and approve the credentialing process and will audit the credentialing process on an ongoing basis.

Appears in 3 contracts

Samples: Provider Group Affiliation Agreement, Provider Group Affiliation Agreement, Provider Group Affiliation Agreement

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Credentialing Requirements. Practitioner Provider shall comply fully with Health Plan credentialing requirements applicable to Practitioner Provider and health care personnel supervised employed by Practitioneror contracted with Provider. Practitioner Provider shall promptly notify Health Plan and Provider of any material changes in professional Provider’s certification, licensure, hospital privileges or other professional qualification status. To the extent Health Plan delegates credentialing of practitioners to PractitionerProvider, Health Plan shall review and approve the credentialing process and will audit the credentialing process on an ongoing basis.

Appears in 3 contracts

Samples: Practitioner Affiliation Agreement, Ancillary Provider Affiliation Agreement, Practitioner Affiliation Agreement

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