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Credentialing Requirements

General Credentialing Requirements

This section stores following information:

  • Is there online enrollment?
  • Is there enrollment through application forms (Ex. PDF form)?
  • Are the new enrollments done through rosters?
  • Does the organization require submission of ongoing provider rosters?
  • Specify the frequency of provider roster submission (Monthly, Quarterly, Annually)
  • Specify the provider portal to be used for credentialing

Specific Enrollment Requirements

Mark if enrollment is required for the roles you have configured through admin. 

If enrollment is required, only then you will be able to start and track enrollment process and status of any provider in Provider menu for this payor for the given role.