Common use of Participating Provider Credentialing Clause in Contracts

Participating Provider Credentialing. Vendor shall establish and maintain a credentialing and re- credentialing process to which all professional Participating Providers shall be subject in accordance with the Delegation of Credentialing Addendum, attached to this Agreement as Exhibit F. Upon United’s written request, Vendor shall provide United with a copy of Vendor’s credentialing process. Vendor’s credentialing process shall comply with Exhibit F of this Agreement and the applicable requirements of the National Committee for Quality Assurance (“NCQA”), Joint Commission on Accreditation of Healthcare Organizations or another generally recognized accrediting agency (“Accrediting Agency”) and for Medicare, Medicaid, and any other government business, any additional requirements under state or federal law. The services performed by Vendor under the Delegation of Credentialing Addendum shall be pursuant to the monitoring, oversight and approval of United. With reasonable prior written notice and during normal business hours, United may conduct comprehensive onsite evaluation of Vendor’s credentialing procedures. Vendor shall immediately provide documentation to United related to any issue concerning quality of care or related to any investigation or inquiries by regulatory agencies of any Participating Provider.

Participating Provider Credentialing. Vendor shall establish and maintain a credentialing and re- re-credentialing process to which all professional Participating Providers shall be subject in accordance with the Delegation of Credentialing Addendum, attached to this Agreement as Exhibit F. Upon United’s written request, Vendor shall provide United with a copy of Vendor’s credentialing process. Vendor’s credentialing process shall comply with Exhibit F of this Agreement and the applicable requirements of the National Committee for Quality Assurance (“NCQA”), Joint Commission on Accreditation of Healthcare Organizations or another generally recognized accrediting agency (“Accrediting Agency”) and for Medicare, Medicaid, and any other government business, any additional requirements under state or federal law. The services performed by Vendor under the Delegation of Credentialing Addendum shall be pursuant to the monitoring, oversight and approval of United. With reasonable prior written notice and during normal business hours, United may conduct comprehensive onsite evaluation of Vendor’s credentialing procedures. Vendor shall immediately provide documentation to United related to any issue concerning quality of care or related to any investigation or inquiries by regulatory agencies of any Participating Provider.