Get Id Initial Practitioner Credentialing Application Checklist 2014-2025
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How to fill out the ID Initial Practitioner Credentialing Application Checklist online
Completing the ID Initial Practitioner Credentialing Application Checklist is an essential step for practitioners seeking credentialing with Blue Cross of Idaho. This guide provides clear and detailed instructions for filling out the checklist online, ensuring that you submit a comprehensive application.
Follow the steps to successfully complete your credentialing checklist.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Ensure you have provided a completed application, indicating 'Does Not Apply' for any sections that do not pertain to you.
- List all current and expired state professional licenses, including Idaho, in the designated field.
- Provide your DEA registration information if applicable, following the instructions outlined in Section IV.
- Fill out your education information, including the name of the institution and the start and end dates of your education.
- Include information on any board certifications and relevant professional certifications, ensuring to provide copies if required.
- List your current and primary admitting facility along with other affiliations as instructed in Section XVI.
- Complete your work history, detailing all relevant experiences for the past five years or since you received your degree.
- Attach a copy of your current professional liability insurance face sheet that meets the minimum coverage requirements.
- Provide the completed Idaho Practitioner Attestation Questions Form and make sure to include written explanations for any 'Yes' answers.
- Fill out and attach the Release of Authorization Form as required.
- Review your application for completeness and accuracy before saving changes, downloading, printing, or sharing the form.
Complete your documents online today for a seamless credentialing process.
The three primary types of credentialing are primary source verification, thorough background checks, and ongoing monitoring. Primary source verification checks your qualifications directly with the issuing authorities, while background checks assess your professional history. Ongoing monitoring ensures that your credentials remain valid over time. Using the ID Initial Practitioner Credentialing Application Checklist can help you understand and prepare for each type.
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