Common use of Provider Credentialing Clause in Contracts

Provider Credentialing. ‌ Insurer shall establish and follow policies and procedures for credentialing and recredentialing Providers. Such policies and procedures shall, at a minimum, comply with the uniform credentialing and recredentialing policy adopted by FHKC. Insurer may adopt credentialing and recredentialing policies and procedures that are more robust than FHKC’s uniform credentialing and recredentialing policy requires. In the event Insurer terminates a contract or declines to contract with a Provider or Provider group, Insurer shall provide FHKC and affected Providers with written notice of the reason for Insurer’s decision.