What is Delegated Credentialing?

Delegated credentialing is the process by which a health plan (or any other entity responsible for credentialing) agrees to turn over a portion of their credentialing review process to a qualified entity and must provide oversight of the delegate for ongoing adherence to program requirements. Delegated credentialing involves three key components. The delegation agreement outlines the responsibilities of both the plan and the delegated entity, the assessment, and evaluation of the credentialing program. This provides the health plan all information required to determine whether the proposed entity meets plan standards and ongoing oversight while also ensuring that the delegated entity continues to operate in a compliant manner.

The Roster

Per delegation, our office submits a monthly roster to our contracted commercial health plans.

UCSF Medical Group Contracting Services

If you’re looking for Contracted commercial payers, please follow the link below.