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Enrollment of Practitioners

Credentialing: Site Visit

Step Process
1
Credentialing criteria review
2
Site visit
3
Credentialing Committee review
4
Ongoing monitoring

As part of the credentialing process for all primary care providers (PCPs), OB/GYNs, and psychiatrists, a Wellmark Provider Relations Manager will contact your office to set up a time for an office site visit. Once scheduled, the Provider Relations Manager will:

  • Fax and mail to your office manager a listing of the site review criteria
  • Provide his/her name and phone number for questions

At a minimum, the review must include all site visit indicators and measures established by the Credentialing Committee and the review of one medical record to ensure the office has a systematic method of recordkeeping.

Once this process is completed sucessfully, your profile is presented to the Credentialing Committee.

Continue to Step 3, Credentialing Committee review

 


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Wellmark Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association doing business in Iowa and South Dakota. Blue Cross®, Blue Shield®, and the Cross® and Shield® symbols are registered marks of the Blue Cross and Blue Shield Association, an Association of Independent Blue Cross and Blue Shield Plans.


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