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Reliant Behavioral Health, L.L.C. 1220 SW Morrison, Suite 600 Portland, OR 97205 503.802.9800 1.877.730.5113 (Toll-free Fax) Dear Colleague: Enclosed is your recredentialing application. Please complete
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Point by point instructions on how to fill out enclosed is your recredentialing:
01
Start by carefully reviewing the recredentialing form. Familiarize yourself with all the sections and information required.
02
Make sure you have all the necessary supporting documents ready, such as updated certifications, licenses, and any relevant documentation required for the recredentialing process.
03
Begin filling out the form by providing your personal information accurately. This may include your name, contact details, and other identifying information.
04
Move on to the section that requires you to update your professional history. Provide details about your current and past employment, including the names of organizations, job titles, dates of employment, and any changes in your practice or scope.
05
If there is a section related to your educational background, provide information about your degrees, institutions attended, and any additional certifications or accreditations you may have obtained.
06
Some recredentialing forms may ask for information about your professional affiliations or memberships. If applicable, provide details about any associations you belong to or any relevant affiliations in your field.
07
If there is a section requiring disclosure of any legal or disciplinary actions, be sure to provide accurate information about any such incidents that have occurred since your last credentialing.
08
Review the completed form for any errors or missing information. Ensure that all sections have been filled out accurately and thoroughly.
09
Attach all the required supporting documents as indicated on the form. This may include copies of updated licenses, certifications, and other relevant documentation.
10
Once you have completed the recredentialing form and attached all necessary documents, carefully package and submit it as instructed. If there is a specific address or contact information provided, make sure to use it accordingly.

Who needs enclosed is your recredentialing?

01
Medical professionals such as doctors, nurses, and healthcare practitioners who are affiliated with healthcare networks or insurance providers often require recredentialing periodically.
02
Professionals in other fields, such as therapists, counselors, or social workers, who are licensed or certified may also need to complete the recredentialing process.
03
Anyone whose professional credentials need to be updated or verified on a regular basis may need to undergo the recredentialing process to ensure compliance with industry standards and regulations.
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Enclosed is your recredentialing application.
All healthcare providers are required to file for recredentialing.
You can fill out the recredentialing application online or submit a paper application with all the required documentation.
The purpose of recredentialing is to ensure that healthcare providers maintain their qualifications and continue to meet the standards set by regulatory bodies.
You must report your current license, certifications, malpractice insurance, continuing education, practice location, and any disciplinary actions.
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