Credentialing Activities definition

Credentialing Activities means credentialing and recredentialing of the providers in UCare's networks, and includes but is not limited to: primary source verification; application of uniform selection criteria; and establishment and maintenance of credentialing and recredentialing standards, policies and procedures relating to peer review, approval, denial, notifications, appeals, reporting to the National Practitioner Data Bank (“NPDB”) and site reviews, as applicable. See Schedule C - “Credentialing.”
View Source
Credentialing Activities means the methods and processes whereby APS determines whether Affiliated Providers meet the Credentialing Criteria, both initially and on a continuing basis.
View Source
Credentialing Activities means the process performed by or for Subscriber(s) of assessing, primary source verification, and otherwise validating the Credentialing Information or qualifications of Healthcare Professionals, for the sole purposes of deciding whether to allow, deny, or modify the terms of Participation with one or more Subscriber(s).
View Source

Examples of Credentialing Activities in a sentence

  • Further, in conjunction with APS's submission of its Credentialing Activities to CHC pursuant to Section 3.2 of this Delegation Agreement, APS shall provide CHC with a list, including names, addresses and tax identification numbers, of subcontractors who may be used to provide Credentialing Services to the HMO Subsidiaries and will provide timely written notice of any changes in a subcontractor's status.

  • Subscriber is solely responsible for its Credentialing Activities including, but not limited to, querying the National Practitioner Data Bank, conducting any criminal background checks, and verifying and otherwise validating any Credentialing Information contained in Credentialing Files, each as deemed appropriate by Subscriber.

  • APS shall incorporate said information into APS's recredentialing activities pursuant to APS's Credentialing Activities.

  • Once approved, APS will implement the Credentialing Activities and will submit the Credentialing Activities for review on each annual anniversary of the Effective Date of this Delegation Agreement.

  • In the event that CHC reinstates its approval of APS's Credentialing Activities, this Delegation Agreement shall continue in full force and effect.

  • CHC agrees to review and notify APS of its approval or disapproval of APS's Credentialing Activities within thirty (30) days of CHC's review of such activities.

  • This Delegation of Credentialing Activities Agreement ("Delegation Agreement") is made and entered into by and between Coventry Health Care, Inc.