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Get the free Credentialing Application Addendum - Moda Health

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IMPORTANT ODS Practice Survey Please complete this short survey about your practice. The information you provide will help us to better represent your practice to ODS members. Robert Neal Mills, MD,
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Credentialing application addendum is a supplemental form or document that is submitted in addition to the main credentialing application.
Healthcare providers or professionals who are undergoing the credentialing process may be required to file a credentialing application addendum.
To fill out a credentialing application addendum, one must provide the required information and supporting documentation as requested by the credentialing body.
The purpose of a credentialing application addendum is to provide additional information or clarification to support the main credentialing application.
The information reported on a credentialing application addendum may vary depending on the specific requirements of the credentialing body, but typically includes additional education, training, licensure, certifications, or work experience.
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