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LAST MODIFIED 05.01.2019

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 ...

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LAST MODIFIED 11.14.2018

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 ...

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LAST MODIFIED 03.29.2019

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 ...

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LAST MODIFIED 03.29.2019

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 ...

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LAST MODIFIED 11.05.2018

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

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LAST MODIFIED 11.05.2018

Frequently Asked Questions for Nursing Facility Credentialing Verification Organization

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LAST MODIFIED 12.17.2018

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 ...

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LAST MODIFIED 03.29.2019

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 ...

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LAST MODIFIED 07.02.2018

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

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LAST MODIFIED 01.18.2019

Delegated Credentialing Program

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LAST MODIFIED 03.27.2019

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). ...

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LAST MODIFIED 10.10.2019

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

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LAST MODIFIED 01.16.2019

Care Provider Rights Related to the Credentialing Process

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LAST MODIFIED 01.16.2019

Credentialing Committee Decision Making Process (Non-Delegated)

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LAST MODIFIED 06.05.2019

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

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LAST MODIFIED 01.16.2019

Credentialing and Re-Credentialing