The Lehman health plan an MCO is currently recruiting providers in preparations for its expansion into a new service area. A recruiter for Lehman has been meeting with DR. Anthony Smith a pediatrician who practices in Lehman's new service area, in order to convice him to become one of the plan's providers.
While these meeting have been taking place, Lehman has been obtaining, reviweing, and verifying Dr. Smiths documentation related to licenses, certifications and training in order to determine whether he meets lehman's pre- established criteria for participation in its provider network.
The process by which lehman determines whether Dr. smith meets its pre- established criteria for participation in its provider network.
The process by which lehman determines whether Dr. smith meets its pre- established criteria for participation in the network is known as:
1. Quality Assurance
2. ERISA
3. Credentialing
4.Accreditation