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Contracting and Credentialing Provider Training For Mississippi Coordinated Access Network (SCAN) SPRING / SUMMER 2014 8/11/2014 Contracting & Credentialing Welcome to Magnolia Health Plan! We thank
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What is contracting and credentialing provider?
Contracting and credentialing provider refers to the process of establishing agreements between a healthcare provider and an insurance company or managed care organization, as well as verifying the provider's qualifications and credentials.
Who is required to file contracting and credentialing provider?
Healthcare providers such as doctors, nurses, hospitals, and other medical professionals are required to file contracting and credentialing provider.
How to fill out contracting and credentialing provider?
Contracting and credentialing provider forms can usually be filled out online or submitted through the insurance company's designated portal.
What is the purpose of contracting and credentialing provider?
The purpose of contracting and credentialing provider is to ensure that healthcare providers meet certain standards of care and are eligible to receive reimbursement from insurance companies for the services they provide.
What information must be reported on contracting and credentialing provider?
Information such as provider's educational background, licensure, malpractice history, facilities where services are provided, and insurance participation must be reported on contracting and credentialing provider.
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