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DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT State Board of Health 6 CCR 1014-4 COLORADO HEALTH CARE PROFESSIONAL CREDENTIALS APPLICATION Amended March 21, 2007, effective July 1, 2007, DEPARTMENT
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How to fill out multiplan credentialing application form
How to fill out multiplan recredentialing provider application:
01
Gather all necessary information and documents such as your current medical licenses, DEA registration, malpractice insurance information, and board certifications. Make sure you have these items readily available before starting the application.
02
Access the multiplan recredentialing provider application either online or through a printed form. Determine which option is most convenient for you.
03
Begin filling out the application by providing your basic personal information including your name, address, contact details, and Social Security number, if required.
04
Proceed to enter your professional details such as your medical education, training, and work experience. Include any additional certifications or specialties that are relevant to your practice.
05
Provide detailed information about your current practice, including the name and address of your primary practice location and any other affiliated facilities.
06
Complete the sections relating to your malpractice insurance coverage, ensuring you accurately provide the insurer's name, policy number, and expiration date.
07
Carefully review each section of the application to ensure accuracy and completeness. Double-check any information provided before submitting the application.
08
Once the application is complete, submit it according to the specified instructions, whether through online submission or mailing a printed form.
09
After submission, keep a copy of the completed application for your records.
10
Wait for confirmation from multiplan that your recredentialing application has been received and processed. Follow up if necessary.
Who needs multiplan recredentialing provider application:
01
Healthcare providers who are already contracted with Multiplan and need to recredential their provider status.
02
Providers who wish to join Multiplan's network of healthcare providers and need to go through the recredentialing process.
03
Medical professionals who have undergone a change in their licensing, malpractice insurance, or practice location and need to update their information with Multiplan.
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What is multiplan recredentialing provider application?
The multiplan recredentialing provider application is a form that healthcare providers submit to MultiPlan to maintain their credentialing status and continue participating in the MultiPlan network.
Who is required to file multiplan recredentialing provider application?
All healthcare providers who are currently participating in the MultiPlan network are required to file the multiplan recredentialing provider application.
How to fill out multiplan recredentialing provider application?
To fill out the multiplan recredentialing provider application, healthcare providers need to provide accurate and up-to-date information about their practice, qualifications, licenses, certifications, and any other relevant details as instructed in the application form. They should review the instructions carefully and ensure all required fields and supporting documents are included.
What is the purpose of multiplan recredentialing provider application?
The purpose of the multiplan recredentialing provider application is to ensure that healthcare providers meet MultiPlan's credentialing requirements on an ongoing basis. It helps maintain the integrity and quality of the MultiPlan network by verifying the qualifications and credentials of participating providers.
What information must be reported on multiplan recredentialing provider application?
The multiplan recredentialing provider application typically requires healthcare providers to report information such as their contact details, practice address, licensure information, education, training, board certifications, professional liability insurance, and any disciplinary actions or sanctions taken against them.
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