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Practitioner credentialing rights

During review of the credentialing application, every applicant has the right to:

  • Review information obtained through primary source verification for credentialing purposes. This includes information from malpractice insurance carriers and state licensing boards. This does not include information collected from references, recommendations and other peer-review protected information.
  • Be notified if any credentialing information is received that varies substantially from application information submitted by the practitioner. Practitioners have the right to correct erroneous information if the credentialing information received varies substantially from the information that was submitted on his/her application.
  • Request the status of his/her application if the application is current and complete, the applicant can be informed of the tentative date that his or /her application will be presented to the credentialing committee for approval.