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 ...

Summary: Texas Medicaid MCOs have become aware of a recent communication offering to help providers through the credentialing process for a fee ($250). The Credentialing Verification Organization (CVO) process is free to providers. Neither ...

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 ...

Nursing Facility Credentialing through the CVO Overview and Updates to the Availity Portal.

Frequently Asked Questions for Nursing Facility Credentialing Verification Organization

We’ve created this frequently asked questions document to help make the credentialing and recredentialing processes as easy as possible for you and to answer questions we often receive from individual care providers such as physicians and ...

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 ...

Frequently Asked Questions for State of Kansas Facility and Provider Initial and Re-Credentialing Application and HCBS Supplemental Credentialing Form

Delegated Credentialing Program

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). ...

Care Provider Rights Related to the Credentialing Process

Credentialing Committee Decision Making Process (Non-Delegated)

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

Credentialing and Re-Credentialing

“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 ...