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Minnesota Uniform Credentialing Application Reappointment Physician/Dentist/Allied Health ProfessionalApplicant Name:Last×First×Middle×Suffix×TitleCREDENTIALING CONTACT INFORMATION Telephone NumberAddressFax
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Form recredentialing application is a form that healthcare providers must submit to renew their credentials and maintain their status with insurance companies and healthcare organizations.
Healthcare providers such as doctors, nurses, and other medical professionals are required to file form recredentialing application.
Healthcare providers must carefully fill out all required information on the form recredentialing application and submit supporting documentation as needed.
The purpose of form recredentialing application is to ensure that healthcare providers meet the necessary requirements to continue providing care to patients and receiving reimbursement for services.
Information such as personal details, education, training, work history, licensure, certifications, malpractice history, and professional references must be reported on form recredentialing application.
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