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State of illinois recredentialing form

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YOU ONLY HAVE TO FILL OUT AND SUBMIT WHAT IS REQUESTED BY THE CREDENTIALING ENTITY. Availability Days Nights State Zip Weekends Holidays SECTION I. ADDITIONAL SITE INFORMATION End Recredentialing and Business Data Gathering Form. FORM A ADVERSE AND OTHER ACTIONS DUPLICATE this form as necessary to complete separate sheet for EACH occurrence that applies. I further agree to promptly inform all entities to which this form was sent and not rejected of any change required to be updated by the Heal ...

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What is the single credentialing cycle in Illinois?

Single credentialing cycle means a process whereby for purposes of recredentialing each health care professionals credentials data are collected by all health care entities and health care plans that credential the health care professional during the same time period and only once every 2 years.

How often is re credentialing necessary?

Why do I have to undergo the recredentialing process? A. As a condition of your provider agreement, you must undergo recredentialing review at least every three years. This process not only supports maintaining provider network quality, but is mandated by clients, regulators and accrediting bodies.