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Credentialing and Demographics


Credentialing Overview: Outlines who must be credentialed, as well as the credentialing process.

Credentialing Information: Credentialing application, release forms and plan information.

Recredentialing: Detailed criteria and review processes.

Demographics Change Requests: Access to change process information, forms and data validation requirements.

Clinic Demographics: Search for a clinic by Federal Tax ID, clinic/site name or zip code.

Credentialing and Appeals Subcommittees: Explanation of actions, notification of decisions and the appeal process.



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