In addition to the credentialing activities that an health plan performs when initially accepting a...

Vendor: AHIP
Product: AHM-250
Update on: Jul 25, 2025
Questions: 367

AHIP AHM-250 Question Answer

In addition to the credentialing activities that an health plan performs when initially accepting a provider into its network, the health plan must also perform recredentialing of the same providers on an ongoing basis. Many of the same activities are per

verification of a network provider's medical education and residency

performance of site inspections in a provider's facilities

review of information from a provider's quality improvement activities

verification of a provider's licensure and certification