CA Optum Facility Cred App 2014 free printable template
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Opium/OptumHealth Behavioral Solutions of California1 Facility Network Request Form/Credentialing Application INSTRUCTIONS Read these instructions carefully. It is strongly recommended that an administrative
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How to fill out CA Optum Facility Cred App
How to fill out CA Optum Facility Cred App
01
Step 1: Gather necessary documentation such as facility license, tax ID, and insurance information.
02
Step 2: Download the CA Optum Facility Credentialing Application from the official website.
03
Step 3: Fill in the facility's legal name, address, and contact information accurately.
04
Step 4: Complete the sections regarding ownership and management, including relevant details of all key personnel.
05
Step 5: Provide details about the services offered, including specialties and operational hours.
06
Step 6: Attach copies of required documents such as certifications and insurances.
07
Step 7: Review the application for accuracy and completeness.
08
Step 8: Submit the application via the specified submission method, ensuring to keep a copy for your records.
Who needs CA Optum Facility Cred App?
01
Healthcare facilities seeking to partner with Optum for patient care services.
02
Facilities that need to be credentialed to receive reimbursements from Optum's insurance plans.
03
New healthcare facilities looking to establish their presence in the Optum network.
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What is CA Optum Facility Cred App?
The CA Optum Facility Credentialing Application (Cred App) is a form used to collect information necessary for the credentialing of healthcare facilities to ensure they meet specific standards and qualifications.
Who is required to file CA Optum Facility Cred App?
Healthcare facilities seeking to participate in the CA Optum network are required to file the CA Optum Facility Credentialing Application.
How to fill out CA Optum Facility Cred App?
To fill out the CA Optum Facility Cred App, complete all required sections with accurate and up-to-date information, including facility details, ownership, services provided, and relevant certifications.
What is the purpose of CA Optum Facility Cred App?
The purpose of the CA Optum Facility Credentialing Application is to evaluate and verify the qualifications and credentials of healthcare facilities to ensure they comply with regulatory standards and provide quality care.
What information must be reported on CA Optum Facility Cred App?
The CA Optum Facility Cred App requires information such as facility name, address, ownership details, services offered, licensing information, and any relevant accreditation certifications.
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