Credentialing/Provider Network (CR/PN)

  • Review NCQA's Credentialing (CR) Accreditation and Certification. Credentialing focuses on consumer protection and customer service improvement. It provides a framework for organizations to implement industry best practices that help them accurately and efficiently credential and recredential health care professionals.
  • Review NCQA's Provider Network (PN) Accreditation. Provider Network Accreditation creates a framework for organizations to provide efficient, accurate and consistent network management and credentialing services.
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  1. 2025 CR/PN Survey Tool (web-based)
    2025 CR/PN Survey Tool (web-based)
    EFFECTIVE FOR SURVEYS WITH A START DATE OF JULY 1, 2025 - JUNE 30, 2026
    As low as $640.00
  2. 2025 CR/PN Standards and Guidelines (epub)
    2025 CR/PN Standards and Guidelines (epub)
    EFFECTIVE FOR SURVEYS WITH A START DATE OF JULY 1, 2025 - JUNE 30, 2026
    As low as $350.00
  3. 2025 CR/PN Standards and Guidelines (web-based)
    2025 CR/PN Standards and Guidelines (web-based)
    EFFECTIVE FOR SURVEYS WITH A START DATE OF JULY 1, 2025 - JUNE 30, 2026
    As low as $350.00
  4. 2025 CR/PN File Review Access (web-based)
    2025 CR/PN File Review Access (web-based)
    EFFECTIVE FOR SURVEYS WITH A START DATE OF JULY 1, 2025 - JUNE 30, 2026
    As low as $275.00
  5. 2024 UM/CR/Provider Network Survey Tool (web-based)
    2024 UM/CR/Provider Network Survey Tool (web-based)
    EFFECTIVE FOR SURVEYS WITH A START DATE OF JULY 1, 2024 - JUNE 30, 2025
    As low as $640.00
  6. 2024 UM/CR/Provider Network Standards and Guidelines (epub)
    2024 UM/CR/Provider Network Standards and Guidelines (epub)
    EFFECTIVE FOR SURVEYS WITH A START DATE OF JULY 1, 2024 - JUNE 30, 2025
    As low as $350.00
  7. 2024 UM/CR/Provider Network Standards and Guidelines (web-based)
    2024 UM/CR/Provider Network Standards and Guidelines (web-based)
    EFFECTIVE FOR SURVEYS WITH A START DATE OF JULY 1, 2024 - JUNE 30, 2025
    As low as $350.00
  8. 2024 UM/CR/Provider Network File Review Access (web-based)
    2024 UM/CR/Provider Network File Review Access (web-based)
    EFFECTIVE FOR SURVEYS WITH A START DATE OF JULY 1, 2024 - JUNE 30, 2025
    As low as $275.00
  9. 2023 UM/CR/Provider Network Survey Tool (web-based)
    2023 UM/CR/Provider Network Survey Tool (web-based)
    EFFECTIVE FOR SURVEYS WITH A START DATE OF JULY 1, 2023 - JUNE 30, 2024
    As low as $640.00
  10. 2023 UM/CR/Provider Network Standards and Guidelines (epub)
    2023 UM/CR/Provider Network Standards and Guidelines (epub)
    EFFECTIVE FOR SURVEYS WITH A START DATE OF JULY 1, 2023 - JUNE 30, 2024
    As low as $350.00
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