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ORGANIZATIONAL HOSPITAL PROVIDER APPLICATION Please complete each section thoroughly. Type or print clearly in black ink. Sign and date the application. YOU MUST INCLUDE THE FOLLOWING WITH THIS COMPLETED
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WWWWV Insurance Gov Link Click West Virginia standardized credentialing is a process used to verify the qualifications and competencies of healthcare providers in West Virginia to ensure they meet the required standards of care.
Healthcare providers, including physicians, nurses, and other licensed professionals operating in West Virginia, are required to file the standardized credentialing.
To fill out the standardized credentialing, providers must complete the official application form, provide necessary documentation such as licenses and certifications, and submit it by the specified deadline.
The purpose of the standardized credentialing is to ensure that healthcare providers meet the state’s regulatory standards and offer quality care to patients.
Providers must report personal identification information, professional qualifications, work history, and any disciplinary actions or malpractice claims.
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