Dpm board certification verification
[DOCX File]CONFIDENTIAL
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Policy states that verification of board certification occurs as required by plan. Policy provides the definition of a “clean file”. Policy states that all files (including clean files) approved for initial credentialing and recredentialing pass through Committee process for final determination.
[DOC File]www.morriseyonline.com
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DPM, DMD/DDS – direct from State Board (See license verification). DEA Certification. Standard/Requirement - Copy of current certificate. - Verification of current DEA certification. Notes - If the DEA expires after the application is in process, the copy of the DEA and PSV must be current when the verification is confirmed complete.
[DOCX File]ARTICLE TWO: PURPOSES AND RESPONSIBLITIES OF THE …
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Aug 28, 2019 · Board certification, if required by the Medical Staff Bylaws, Rules and Regulations Malpractice coverage, if required by the Medical Staff Bylaws, Rules and Regulations Information from all prior and current liability insurance carriers concerning claims, suits, settlements, and judgments (if any) during the past ten (10) years upon initial ...
[DOCX File]Current Issues in Credentialing and Privileging
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C.Board certification by the appropriate specialty Board (American Board of Medical Specialties, American Osteopathic Association, American Dental Association, Council on Podiatric Medical Education, or one of their subspecialty boards); or proof of admissibility for examination for certification by the appropriate specialty Board, and ...
[DOCX File]Appendix 3 - Acronyms and Abbreviations
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Author: Defense Logistics Management Standards Office Created Date: 02/06/2019 14:43:00 Title: Appendix 3 - Acronyms and Abbreviations Subject: DLM 4000.25, Volume 1, Appendix 3 - Acronyms and Abbreviations
[DOCX File]Minnesota Uniform Credentialing Application
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I hereby further release from liability the Entity and its Agents, state licensing board(s), health care organizations, including, without limitation, hospitals, clinics, and third party payers, medical malpractice insurance carrier(s), and any staff, and all individuals, institutions and entities providing information in accordance with this ...
[DOC File]West Virginia Standardized Credentialing Form
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Copy of Board Certification Certificate(s) (if applicable), or other National Certification Certificates ... Copy of W-9 for verification of each tax identification number used (required for payers only) Copy of Visa or work permit (if not a U.S. citizen) ... MD, DO, DDS, DPM, PA-C, RN, APN) Gender Birth Date Birthplace Male Female Other Name(s ...
[DOCX File]CONFIDENTIAL - WAMSS
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Policy states that verification of board certification occurs as required by plan Policy provides the definition of a “clean file” Policy states that all files (including clean files) approved for initial credentialing and recredentialing pass through Committee process for final determination
[DOC File]The Official Web Site for The State of New Jersey
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POS Yes No If not Board Certified, indicate any of the following that apply: I have taken exam, results pending for: (board) I am intending to sit for the Boards on: (date) I am not planning to take the Boards. Secondary Specialty. Board Certified? Yes No Name of Certifying Board. Initial Certification Date
[DOC File]www.morriseyonline.com
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Board Certification Explanation If Board certified, delete the task. Other Missing Information If no information missing, delete task. Documents Reapp Consent and Release Physician Activity Profile Task is deleted if not UPP anesthesiology, emergency medicine, pathology or radiology.
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