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In Addition to the Credentialing Activities That a Health Plan

Question 179

Multiple Choice

In addition to the credentialing activities that a health plan performs when initially accepting a provider into its network, the health plan must also perform recredentialing of the same providers on an ongoing basis. Many of the same activities are per


A) verification of a network provider's medical education and residency
B) performance of site inspections in a provider's facilities
C) review of information from a provider's quality improvement activities
D) verification of a provider's licensure and certification

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