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Meaning
The review and verification process used to determine the current clinical competence of a provider and whether the provider meets the health insurance payer's preestablished criteria for participation in the network.
Category
Scheme Policy
Synonyma
Further Reading
JLN Process – Provider Management
Sources
File: NHIIS_Phase_1_Public_Report_JLN_IT_Workshop_FINAL_Jan182012_A4.pdf
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