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News
Access to Information During the Credentialing Process
Recent News
- BMI Administers Federal Insurance Plan in Iowa
Published: - New TPA for Creighton Student Plan
Published: - Aetna Policy and Practice Updates
Published: - President's Message
Published: - Magellan Behavioral Health Network
Published: - Online Claims Save Time and "Green"
Published: - Aetna Payment Estimators Help Determine Patients’ Costs
Published: - 5010 Preparation Under Way
Published: - CIGNA ID Card Brochure
Published: - Groups Access Network through Sanford Health Plan
Published: - Webinar Invitation List
Published: - Five Steps to a Successful Appeal
Published: - Lockheed Martin Corporation Cards Incorrect
Published: - Rehabilitation Order Issued for American Community
Published: - Great-West Accesses Midlands Choice in South Dakota
Published: - Highlights of 2010 CPT Changes
Published: - South Dakota Group Accesses Midlands Choice Network
Published: - CIGNA and Great-West Healthcare Precertification
Published: - Note to Bariatric Surgery Providers for CIGNA Patients
Published: - Aetna Student Health Plans Addresses Have Changed
Published: - Aetna Online Resources
Published: - Keep Us Up to Date on Demographic Changes
Published: - Staff Profile
Published: - 2009 Provider Survey Results
Published: - NaviNet Link Includes Access to Both Aetna and CIGNA
Published: - President’s Message
Published: - Aetna Reconsiders ARNP Payments
Published: - Great Western Bank
Published: - Nebraska Law Impacts Lab Billing
Published: - Watch for Online Claim Entry in 2010
Published: - New Great-West ID Cards
Published: - Access to Information During the Credentialing Process
Published: - President's Message
Published: - 2010 ICD-9-CM Update
Published: - Aetna Policy and Practice Updates
Published: - Correct Phone Number for Principal Radiology Pre-Cert Program
Published: - CIGNA/Great-West Reimbursement Policy Integration
Published: - Cost of Care Estimator Added to CIGNA Website
Published: - Assurant Offers Online Information
Published: - Aetna Policy and Practice Updates
Published: - Payers Add EFT Capabilities
Published: - Tools for CIGNA Claims
Published: - NCCI Implementation Planned
Published: - Principal Radiology Pre-Certification Program
Published: - Questions About Our Website?
Published: - Whirlpool
Published: - News Archives
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.
