Learn more about joining the UnitedHealthcare Provider Network, along with information on credentialing and recredentialing processes. We're always looking for health care professionals who share our commitment to providing plan members with ...

During the credentialing process, we’ll work with you to verify your qualifications, practice history, certifications and registration to practice in a health care field.

Introducing Onboard Pro, our new and improved credentialing tool.

Effective June 1, 2020, we have made updates to our 2019 – 2021 Credentialing Plan regarding the requirements for facilities that include either accreditation or a site visit.

Each plan retains the right to make their own contracting decisions and also will make their own credentialing committee decisions (review of the primary source verification information obtained by Aperture Credentialing, LLC resulting in ...

New providers receive written confirmation of their effective date with the health plan. Members may not be seen until the provider receives written confirmation that a request or change is approved and completed (this includes approval by the ...

New providers receive written confirmation of their effective date with the health plan. Members may not be seen until the provider receives written confirmation that a request or change is approved and completed (this includes approval by the ...

UnitedHealthcare is temporarily updating its credentialing policies to implement provisional credentialing for out-of-network care providers who are licensed independent practitioners and seeking participation in one or more of our networks. For ...

UnitedHealthcare reviews and updates our Credentialing Plan at least every two years to maintain compliance with all state and federal regulatory requirements and accreditation requirements of the National Committee for Quality Assurance (NCQA). ...

Delegated Credentialing Program

Care Provider Rights Related to the Credentialing Process

Credentialing committee decision-making process (non-delegated)

The information contained in the attached amendments supplements the detailed credentialing criteria identified in the UnitedHealthcare Credentialing Plan.

Messages from the Texas Credentialing Alliance applicable to Texas Community Plan care providers.

“Credential”, “Credentialing”, or “Recredentialing” is the process of assessing and validating the criteria and qualifications of Licensed Independent Practitioners (LIP) and Facilities set forth in the UnitedHealthcare Credentialing Plan and ...

Texas Medical Association (TMA) and Texas Medicaid MCOs proposed a statewide CVO concept to facilitate provider credentialing, which was endorsed during the 84th Texas Legislature in SB 200. The bill established a vision for Texas to streamline ...