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Minnesota Uniform Credentialing Application Initial Physician/Dentist/Allied Health Professional Applicant Name: Last First Middle Suffix Title CREDENTIALING CONTACT INFORMATION Name Address Phone

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What is minnesota uniform credentialing application?

The Minnesota Uniform Credentialing Application is a standardized form that healthcare providers in Minnesota use to apply for participation in health plans and to credential with healthcare organizations.

Who is required to file minnesota uniform credentialing application?

Healthcare providers in Minnesota, including individual practitioners and organizations, are required to file the Minnesota Uniform Credentialing Application if they wish to participate in health plans or credential with healthcare organizations.

How to fill out minnesota uniform credentialing application?

The Minnesota Uniform Credentialing Application can be filled out online or on a paper form. Providers must provide relevant personal and professional information, such as their contact details, education, training, licensure, and experience.

What is the purpose of minnesota uniform credentialing application?

The purpose of the Minnesota Uniform Credentialing Application is to ensure that healthcare providers meet the necessary qualifications and standards to participate in health plans and provide high-quality care to patients.

What information must be reported on minnesota uniform credentialing application?

The Minnesota Uniform Credentialing Application requires healthcare providers to report their personal and professional information, including their contact details, education, training, licensure, certifications, malpractice history, work history, and references.

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