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Request for Contract
To contract and credential with Driscoll Health Plan, please complete the following form and email to:
DHPContracting@Dchstx.org. Upon receipt of this request form, DHP will notify
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How to fill out expedited credentialing request

How to fill out expedited credentialing request
01
Gather all necessary documents such as completed application form, updated CV, copies of licenses and certifications, and any relevant supporting documentation.
02
Contact the credentialing department of the organization you are applying to and request an expedited credentialing request form.
03
Fill out the expedited credentialing request form completely and accurately, making sure to provide all required information.
04
Submit the completed form and supporting documents to the credentialing department along with any required fees.
05
Follow up with the organization to ensure that your expedited credentialing request is being processed in a timely manner.
Who needs expedited credentialing request?
01
Healthcare professionals who need to quickly join a new provider network or healthcare facility.
02
Healthcare professionals who have time-sensitive job offers and need to expedite the credentialing process.
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What is expedited credentialing request?
An expedited credentialing request is a fast-tracked process allowing healthcare providers to obtain necessary credentials quickly to begin working or provide services in a timely manner.
Who is required to file expedited credentialing request?
Healthcare providers, such as physicians, nurses, or other licensed professionals seeking to join a healthcare facility or organization, may be required to file an expedited credentialing request.
How to fill out expedited credentialing request?
To fill out an expedited credentialing request, applicants must complete the designated forms accurately, provide required documentation such as licenses and certifications, and submit the request to the appropriate credentialing body.
What is the purpose of expedited credentialing request?
The purpose of expedited credentialing requests is to ensure that qualified healthcare professionals can quickly obtain the credentials necessary to provide care without unnecessary delays.
What information must be reported on expedited credentialing request?
Information typically reported includes personal identification details, professional credentials, work history, malpractice history, and any disciplinary actions.
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