Credentialing Contract Template

Delegated credentialing is a powerful strategy for provider organizations because it gives provider groups control and visibility into their activation dates with health plans.

Credentialing contract template. The client agrees to make all payments to wch for performing ordered services strictly on timeframes specified in schedule c payment structure. In the event wph is in the process of credentialing a provider wph shall be allowed to complete the process and shall be entitled to the service fees attributable to such provider. Credentialing delegation agreement this agreement entered into upon the dates set forth below by and between charleston area medical center inc hereinafter referred to as party of the first part and hospital. 2 template physician credentialing and privileging agreement between telemedicine entity hospital this physician credentialing.

The undersigned parties hereto have executed this physician credentialing and privileging agreement effective as of. Delegation agreement comes from negotiator. 62 this agreement may be terminated at any time with or without cause by either party upon thirty 30 days prior written notice to the other party. We offer full management of both facility and health plan credentialing.

Y initial credentialing applications will be discontinued if requested information is not provided within 30 days of superiors receipt of an application. This schedule 1 replaces the previous schedule 1. But many provider organizations struggle with setting up and maintaining an ncqa compliant process that is cost effective and scalable and that meets the needs of the. Useful for when you work as a credentialing specialist for a healthcare facility this credentialing contract template is helpful for laying out the responsibilities and expectations of both parties acknowledgment of the terms more and conditions of the agreement and effects of negative situations among other provisions less.

Physician credentialing and privileging agreement between telemedicine entity. Credentialing process and furnish it to wch. Sent separately return entire original contract. Signed and dated participating practitioner agreement.

List of physicians privileged name aadded via this schedule r removed via this schedule name aadded via this schedule r removed via this schedule. Mdcredentialing offers a variety of services including practice management credentialing contracting and consulting. The undersigned accept attach and incorporate this schedule 1 into the credentialing agreement executed between os and ds.