FAQ Directory: Utilization Management, Credentialing and Provider Network

Filter Results
  • Save

    Save your favorite pages and receive notifications whenever they’re updated.

    You will be prompted to log in to your NCQA account.

  • Email

    Share this page with a friend or colleague by Email.

    We do not share your information with third parties.

  • Print

    Print this page.

You are viewing a single FAQ from your previous search. Clear Search

expand all

8.24.2018 What are the Provider Network Accreditation requirements?

Provider Network Accreditation assesses an organization’s performance in the following key areas:

Credentialing and recredentialing
Network management
  • Protecting information
  • Maintaining adequate network
  • Verifying credentials
  • Providing access to appointments
  • Ongoing monitoring of sanctions and complaints
  • Continuity and coordination of care
 
  • Providing directory information
 

UM_CR 2019