Credentialing application definition

Credentialing application means the process whereby a provider submits a completed credentialing application to a health carrier, in which the provider seeks to contract with the health carrier to become a participating provider within the health carrier’s network.
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Credentialing application means the application form to be used for the credentialing of providers.
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Examples of Credentialing application in a sentence

  • MedStar Family Choice accepts the Maryland Uniform Credentialing application for participation and also participates in CAQH.

  • Submit a completed State Mandated Credentialing application, CAQH Universal Credentialing Application form or CAQH ID, or the Plan’s application with a current signed and dated Attestation and Consent and Release form that is less than 90 days old.

  • MedStar Family Choice complies with NCQA guidelines and Maryland State law.MedStar Family Choice accepts the Maryland Uniform Credentialing application for participation and also participates in CAQH.

  • Questions concerning the processing of your Credentialing application or the consent form may be directed to the Credentialing Unit at credentialinq@oasas.ny.gov.

  • Figure 9.2 shows a trend based projection using the 2005 - 2008 data.

  • The CONTRACTOR must notify the Division of Program Integrity/SUR and the Department whenever the CONTRACTOR denies a Provider’s Credentialing application for Program integrity reasons or otherwise limits the ability of Providers to participate in the Medicaid Program for Program integrity reasons in accordance with the Managed Care Policy and Procedure Guide and Managed Care Report Companion Guide.

  • I acknowledge that my Credentialing application or renewal may be denied, suspended, or revoked, if I: a.

  • When necessary, Credentialing staff will include in the email a MN Universal Re- Credentialing application template and checklist of supporting documents, within 3 business days of request.

  • Concise education activity summary records help facilitate the application process and may be uploaded to a candidate’s account but are only required in the event of an application audit; details are provided within the online Credentialing application.

  • Written documentation must be non-erasable ink.• The application materials sent by Anthem include, at a minimum the following:• Cover letter or other explanatory information;• Credentialing application; and• Attestation form• A Practitioner will be notified that he or she has the right to review information submitted to support their credentialing application.

Related to Credentialing application

  • Planning Application means the application for [outline/full] planning permission dated [ ] bearing the Council’s reference number [ ];

  • Commercial applicator means any person, unless exempted in I(4) hereunder, whether or not the person is a private applicator with respect to some uses, who:

  • Provider Platform Application means an application or a set of related functionality deployed on a Platform Cloud Service, created by Provider using the Tools to run on or with the Platform Cloud Service for access by End Users.

  • Renewal Application means a document used to collect pertinent data for renewal of permits

  • Patent Cooperation Treaty means the Patent Cooperation Treaty done at Washington on June 19, 1970;

  • Approval Application means a BLA, NDA or similar application or submission for a Product filed with a Regulatory Authority in a country or group of countries to obtain marketing approval for a biological or pharmaceutical product in that country or group of countries.

  • Clinical nurse specialist means a registered nurse with relevant post-basic qualifications and 12 months’ experience working in the clinical area of his/her specified post-basic qualification, or a minimum of four years’ post-basic registration experience, including three years’ experience in the relevant specialist field and who satisfies the local criteria.

  • Marketing Authorization Application or “MAA” means an application for Regulatory Approval in a country, territory or possession.

  • Regulatory Approval Application means any application submitted to an appropriate Regulatory Authority seeking any Regulatory Approval.

  • Initial application means the Application first provided to MFA on or before an Application Deadline to request an allocation of Tax Credits.

  • international application means an application filed under this Treaty;

  • Uniform application means the current version of the national association of insurance commissioners uniform application for resident and nonresident insurance producer licensing.

  • Marketing Approval Application or “MAA” means a New Drug Application (or its equivalent), as defined in the U.S. Food, Drug and Cosmetic Act and the regulations promulgated thereunder, or any corresponding or similar application, registration or certification in any country.

  • Client Application means an application developed by Licensee that a) utilizes the Runtime Product, b) is installed fully on an end user’s machine, with all report processing local to that machine, and c) adds significant and primary functionality to the Runtime Product.

  • Third Party Applications means online, Web-based applications and offline software products that are provided by third parties and are identified as third-party applications, including but not limited to those listed on the AppExchange and the Reseller Application.

  • Practical application means to manufacture in the case of a composition or product, to practice in the case of a process or method, or to operate in the case of a machine or system; and, in each case, under such conditions as to establish that the invention is being utilized and that its benefits are, to the extent permitted by law or government regulations, available to the public on reasonable terms.

  • SAP Application(s) means all Packages (i.e. all Software and Third Party Software) licensed under the Agreement and/or SAP cloud services for which Customer has a valid subscription, excluding User Interfaces for ERP, SAP Technology Solutions and all database Packages.

  • Access Application means an application for Access Rights as described in section 3.7;

  • Regulatory Flood Protection Elevation means the “Base Flood Elevation” plus the “Freeboard”. In “Special Flood Hazard Areas” where Base Flood Elevations (BFEs) have been determined, this elevation shall be the BFE plus two (2) feet of freeboard. In “Special Flood Hazard Areas” where no BFE has been established, this elevation shall be at least two (2) feet above the highest adjacent grade.

  • Participating Certified Clinical Nurse Specialist means a Certified Clinical Nurse Specialist who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Investigational Medicinal Product means the study drug or control material as defined in the Protocol.

  • Step therapy protocol means a protocol or program that establishes the specific

  • Mobile Application means a specialized software program downloaded onto a wireless communication device.

  • Patent Application means an application for patent protection for a CRADA Subject Invention with the United States Patent and Trademark Office (“U.S.P.T.O.”) or the corresponding patent-issuing authority of another nation.

  • Server Application means an application developed by Licensee that a) utilizes the Runtime Product, b) allows more than one user to Use the Runtime Product through any middle tier application(s), and c) adds significant and primary functionality to the Runtime Product. A Client Application installed in a Windows terminal server environment (e.g. Citrix or Microsoft Remote Desktop Platform) is a Server Application.

  • Development Application means the development application identified in Item 5 of Schedule 1 and includes all plans, reports models, photomontages, material boards (as amended supplemented) submitted to the consent authority before the determination of that Development Application.