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Access to Information During the Credentialing Process

When our credentialing coordinators process a provider’s initial or renewal application, they obtain and evaluate information from different sources.  As a current or prospective Midland’s Choice provider you have the right to review the information we gather during application processing, to ask about the status of your application while it is in process, and to correct any information submitted by another party you feel is incorrect.

You may also review information that we have obtained from outside primary sources such as malpractice insurance carriers or state licensing boards.  By law, we are not allowed to release information submitted to the National Practitioner Data Bank, or information that is considered to be peer-review protected.

During the credentialing process, if we receive information that varies significantly from information submitted on the application, we will provide an opportunity to explain the discrepancy.  Discrepancies may include actions on a license, disciplinary actions, malpractice claims history, hospital privilege restrictions or terminations, and board certification status.

Contact credentialing by e-mail or by calling 1-800-605-8259, ext. 7254.