Credentialing definition

Credentialing means the process of collecting, assessing, and validating qualifications and other relevant information pertaining to a health care provider to determine eligibility and to deliver Covered Services.
Credentialing means the process of assessing and validating the qualifications of a provider applying to be approved by a contracting entity to provide basic health care services, specialty health care services, or supplemental health care services to enrollees.
Credentialing means obtaining, verifying, and assessing the qualifications of a health practitioner to provide treatment, care, or services in or for a health facility.

Examples of Credentialing in a sentence

  • Notwithstanding the foregoing, if current license or credential documents are not available through no fault of the NPS/A, timely application having theretofore been made, this Master Contract shall remain in effect until such documents are made available to the NPS/A from the Consumer Affairs Department or the Commission on Teacher Credentialing.

  • In a case where an elective class is being offered and no clear credential is authorized by the California Commission on Teacher Credentialing (CTC), the Committee on Assignments will evaluate the qualifications of credentialed teachers whose knowledge and training best fulfills the needs of the students.

  • Result Points Possible Points Earned Credentialing & Background Checks Meets Standard: The school materially complies with applicable laws, rules, regulations, and requirements of the performance certificate relating to state and federal certification and background check requirements.

  • The Counselor Credentialing Act serves to provide protection for public health and safety to empower citizens of the state of Washington by providing a complaint process against those counselors who would commit acts of unprofessional conduct.

  • Any change in status regarding any credentialing requirements must be reported in writing, by the Provider to the Department's Credentialing Contracted Agent, within thirty days.


More Definitions of Credentialing

Credentialing means the acts of an examining board, sec- tion of an examining board, affiliated credentialing board or the department that relate to granting, issuing, denying, limiting, sus- pending or revoking a credential.
Credentialing means the administrative process for reviewing, verifying, and evaluating the qualifications and credentials of licensed physicians, physician assistants and advanced practice registered nurses in accordance with criteria established by the nursing facility for the purpose of granting clinical privileges at the nursing facility.
Credentialing or "recredentialing" means:
Credentialing means a process through which a health insurer makes a determination based on criteria established by the health insurer concerning whether a physician, advanced registered nurse practitioner, or physician assistant is eligible to provide health care services to an insured and to receive reimbursement for the health care services provided under an agreement entered into between the physician, advanced registered nurse practitioner, or physician assistant and the health insurer.
Credentialing means the process through which an individual is
Credentialing means a clinical determination that is the responsibility of a physician medical director. It is the employer or affiliating organization’s responsibility to act on the clinical credentialing status of EMS personnel in making employment or deployment decisions.
Credentialing means the issuance of or approval by the Arkansas State Board of Pharmacy of a credential issued to a pharmacist by an agency approved by the board certifying that the pharmacist has met the standards of competency established by the Arkansas State Board of Pharmacy for disease state management or other pharmacy services necessitating a credential;