[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-316292-105":59,"doc-detail-316292-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","final-credentialing-policy-effective-june-4-2020","Final Credentialing Policy - Effective June 4, 2020","","Credentialing Policy for the Center for Enterprise Credentialing and Methods (ECM) of Parkview Health defines the scope, authority, and operating requirements for credentials verification and delegated credentialing/payer enrollment. It outlines committee structure, business conduct, responsibilities, confidentiality, conflict of interest, and non-discrimination. The policy specifies application and eligibility criteria, documentation and audit expectations, clean-file and security controls, and procedures for credentialing/recredentialing, suspensions, terminations, investigations, appeals, notifications, ongoing monitoring, and delegated credentialing agreements.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/final-credentialing-policy-effective-june-4-2020/316292/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/final-credentialing-policy-effective-june-4-2020/316292.png","ImageObject",300,407,{"name":92,"@type":93},"Aran","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-20",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the scope of ECM’s credentialing responsibilities?","Question",{"text":112,"@type":113},"ECM provides systemized credentials verification for Parkview Health entities and may perform delegated credentialing/payer enrollment for practitioners. Health plans and similar programs can delegate credentialing and quality monitoring activities to ECM.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Who makes up the Credentialing Committee and what authority does it have?",{"text":117,"@type":113},"The Parkview Health Board of Directors delegates full authority to the ECM Credentialing Committee to conduct credentialing and recredentialing, including verification, review, approval/denial, and scope modifications.",{"name":119,"@type":110,"acceptedAnswer":120},"What topics does the policy cover beyond initial credentialing?",{"text":121,"@type":113},"It includes application and eligibility requirements, the credentialing/recredentialing process, clean-file and documentation of verification, confidentiality and security, audits, suspension/termination/investigations/appeals, reporting to authorities, ongoing monitoring, and delegated credentialing agreements.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},316292,1790453421,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":56,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144},137455076865,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","The Center for Enterprise Credentialing and Methods  \nCredentialing Policy  \nEffective June 4, 2020  \nTABLE OF CONTENTS  \nSECTION I. SCOPE .....................................................................................................................2  \nA. Credentials Verification Services and Payer Enrollment ................................................2  \nB. Practitioners and Organizational Providers ....................................................................2  \nSECTION II. CREDENTIALING COMMITEE ...............................................................................3  \nA. Authority ......................................................................................................................... 3  \nB. Composition ...................................................................................................................3  \nC. Conduct of Business/Manner of Action ..........................................................................3  \nD. Responsibilities ..............................................................................................................4  \nE. Confidentiality.................................................................................................................4  \nF. Conflict of Interest ..........................................................................................................5  \nG. Non-Discrimination ......................................................................................................... 5  \nH. Membership Statement and Acknowledgement.............................................................5  \nSECTION III. CREDENTIALING AND RECREDENTIALING ....................................................... 5  \nA. Application...................................................................................................................... 5  \nB. Eligibility Criteria............................................................................................................. 6  \nC. Applicant Requirements ................................................................................................. 7  \nD. Incomplete Application ................................................................................................... 7  \nE. Credentialing and Recredentialing Process ................................................................... 7  \nF. Clean File ....................................................................................................................... 8  \nG. Documentation of Verification ........................................................................................ 9  \nH. Confidentiality and Security.......................................................................................... 10  \nI. Credentialing Audits………………………………………………………………………….10  \nSECTION IV. SUSPENSIONS, TERMINATIONS, INVESTIGATIONS AND APPEALS ............10  \nSECTION V. NOTIFICATION TO AUTHORITIES/REPORTING REQUIREMENTS..................10  \nSECTION VI. ONGOING MONITORING .................................................................................... 11  \nA. Identifying Complaints, Adverse Events and Quality Issues ........................................ 11  \nB. Review and Action ....................................................................................................... 11  \nSECTION VII. DELEGATED CREDENTIALING......................................................................... 11  \nA. Delegation Agreement.................................................................................................. 11  \nB. Authority and Responsibilities ...................................................................................... 12  \nSECTION VIII. REVIEW AND APPROVAL OF CREDENTIALING POLICIES ........................... 12  \nSECTION I. SCOPE  \nA. Credentials Verification Services and Payer Enrollment  \nThe Center for Enterprise Credentialing and Methods (ECM) of Parkview Health provides syste","cbCaiq6f7MOwXpR4","https://ap.wps.com/l/cbCaiq6f7MOwXpR4","pdf",275219,"English","# SECTION I. SCOPE\n## A. Credentials Verification Services and Payer Enrollment\n## B. Practitioners and Organizational Providers\n# SECTION II. CREDENTIALING COMMITEE\n## A. Authority\n## B. Composition\n## C. Conduct of Business/Manner of Action\n## D. Responsibilities\n## E. Confidentiality\n## F. Conflict of Interest\n## G. Non-Discrimination\n## H. Membership Statement and Acknowledgement\n# SECTION III. CREDENTIALING AND RECREDENTIALING\n## A. Application\n## B. Eligibility Criteria\n## C. Applicant Requirements\n## D. Incomplete Application\n## E. Credentialing and Recredentialing Process\n## F. Clean File\n## G. Documentation of Verification\n## H. Confidentiality and Security\n## I. Credentialing Audits\n# SECTION IV. SUSPENSIONS, TERMINATIONS, INVESTIGATIONS AND APPEALS\n# SECTION V. NOTIFICATION TO AUTHORITIES/REPORTING REQUIREMENTS\n# SECTION VI. ONGOING MONITORING\n## A. Identifying Complaints, Adverse Events and Quality Issues\n## B. Review and Action\n# SECTION VII. DELEGATED CREDENTIALING\n## A. Delegation Agreement\n## B. Authority and Responsibilities\n# SECTION VIII. REVIEW AND APPROVAL OF CREDENTIALING POLICIES","[{\"question\":\"What is the scope of ECM’s credentialing responsibilities?\",\"answer\":\"ECM provides systemized credentials verification for Parkview Health entities and may perform delegated credentialing/payer enrollment for practitioners. Health plans and similar programs can delegate credentialing and quality monitoring activities to ECM.\"},{\"question\":\"Who makes up the Credentialing Committee and what authority does it have?\",\"answer\":\"The Parkview Health Board of Directors delegates full authority to the ECM Credentialing Committee to conduct credentialing and recredentialing, including verification, review, approval/denial, and scope modifications.\"},{\"question\":\"What topics does the policy cover beyond initial credentialing?\",\"answer\":\"It includes application and eligibility requirements, the credentialing/recredentialing process, clean-file and documentation of verification, confidentiality and security, audits, suspension/termination/investigations/appeals, reporting to authorities, ongoing monitoring, and delegated credentialing agreements.\"}]","Final Credentialing Policy - Effective June 4, 2020 | PDF",1789912677,48]