During the credentialing process, a health plan verifies the accuracy of information on a prospective network provider's
Posted: Fri May 05, 2023 11:03 am
During the credentialing process, a health plan verifies the accuracy of information on a prospective network provider's application.
One true statement regarding this process is that the health plan:
A. has a legal right to access a prospective provider's confidential medical records at any time
B. must limit any evaluations of a prospective provider's office to an assessment of quantitative factors, such as the number of double-booked appointments a physician accepts at the end of each day
C. is prohibited by law from conducting primary verification of such data as a prospective provider's scope of medical malpractice insurance coverage and federal tax identification number
D. must complete the credentialing process before a provider signs the network contract or must include in the signed document a provision that the final contract is contingent upon the completion of the credentialing process
One true statement regarding this process is that the health plan:
A. has a legal right to access a prospective provider's confidential medical records at any time
B. must limit any evaluations of a prospective provider's office to an assessment of quantitative factors, such as the number of double-booked appointments a physician accepts at the end of each day
C. is prohibited by law from conducting primary verification of such data as a prospective provider's scope of medical malpractice insurance coverage and federal tax identification number
D. must complete the credentialing process before a provider signs the network contract or must include in the signed document a provision that the final contract is contingent upon the completion of the credentialing process