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Frequently Asked Questions
Answers to commonly asked questions about the credentialing and claims processes are provided below.
Do you credential physician assistants, CRNAs or nurse practitioners?
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Why do I have to complete the Disclosure Addendum?
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Am I required to have admitting hospital privileges?
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What do I need to include in the credentialing application packet?
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What are your requirements to be a participating provider with UM Health Plan?
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What are the minimum professional liability limits?
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How can I check the status of my application?
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What services/procedures require prior authorization?
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How do I check eligibility and claim status?
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I am a non-network provider. Where do I send claims?
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Where can I find the most recent provider directory?
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What do I need to do if I need to change our office address, name, phone number, etc.?
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Does UM Health Plan release fees?
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Can I get training for my staff, and what type of training is available?
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Does UM Health Plan have a provider manual?
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