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Frequently Asked Questions Insurance

The Carrier Letter lists "accreditation of provider networks, including review of the credentialing process” as one requirement for modular accreditation. Would NCQA Credentialing and Recredentialing Certification meet this requirement?

To our knowledge, NCQA Credentialing and Recredentialing is offered with the Utilization Management Certification, and as such does not address full scope of the "accreditation of provider network(s), including review of the credentialing process" listed in Carrier Letter 2014-10.

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