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Managed Care Systems 1000 NE 10th Street Oklahoma City, OK 731171299 Phone 405.271.6868 http://hrds.health.ok.gov Uniform Credentialing Application 63 O.S. 2011, Section 1106.2 This form must be completed

How to fill out uniform credentialing application

How to fill out uniform credentialing application

1. Review the Uniform Credentialing Application form to understand the information required.
2. Collect all the necessary documents and information such as personal details, education credentials, work history, licenses, certifications, and malpractice history.
3. Read and follow the instructions provided on the application form.
4. Fill out each section of the application accurately and completely.
5. Provide any additional requested information or supporting documentation.
6. Review the completed application for any errors or missing information.
7. Submit the application along with the required fee, if applicable.
8. Wait for the application to be processed and reviewed.
9. Respond promptly to any follow-up requests or inquiries from the credentialing organization.
10. Keep a copy of the submitted application and supporting documents for your records.

Who needs uniform credentialing application?

1. Healthcare professionals, including physicians, nurses, dentists, pharmacists, therapists, etc., who are seeking to join or participate in a healthcare network or organization.
2. Healthcare facilities, hospitals, clinics, and healthcare networks that require healthcare professionals to complete a uniform credentialing application.
3. Insurance companies or managed care organizations that need to verify the credentials and qualifications of healthcare professionals.

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What is uniform credentialing application?

Uniform credentialing application is a standardized form used by healthcare organizations to collect information about a healthcare provider's credentials, qualifications, and history.

Who is required to file uniform credentialing application?

Healthcare providers, such as physicians, nurses, and other allied health professionals, are required to file uniform credentialing application when applying to work at a healthcare organization or participate in insurance networks.

How to fill out uniform credentialing application?

Uniform credentialing application can be filled out by providing accurate and detailed information about one's education, training, work experience, licensure, certifications, malpractice history, and any disciplinary actions.

What is the purpose of uniform credentialing application?

The purpose of uniform credentialing application is to verify the qualifications and credentials of healthcare providers, ensuring they meet the standards set by healthcare organizations and insurance networks.

What information must be reported on uniform credentialing application?

Information such as education, training, work experience, licensure, certifications, malpractice history, and any disciplinary actions must be reported on uniform credentialing application.