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 recredentialing
CNC is required to recredential participating professional providers every 3 years. CNC will advise you of this at least 2 months before your current credentials expire. We mail this application package to the address on file in our system.
It is extremely important that you return your application by the stated due date. If your completed recredentialing application, together with the required documents, is not received BY THE DUE DATE CLEARLY STATED IN YOUR RECREDENTIALING PACKET, your participation in the CNC network will be terminated.
In order to assist you, we have completed parts of the recredentialing application for you.
You are required to review EACH SECTION to assure the accuracy of the information before submitting to CNC.
Prior to submitting your application packet, please make sure that your packet contains:
The Blue Checklist attached to your application must be completed and returned with the application.
- Completed application with current date and signature
- Copy of provider’s state license registration clearly showing expiration date.
- For NC providers, this is the large 8 1/2 x 11 license renewal showing the expiration date of your license.
- For SC providers, this is the small, wallet-size registration that shows the expiration date of your license.
- Copy of the fact sheet of your current professional liability insurance policy indicating:
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Name of provider
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Amount of coverage (minimum coverage requirement: $1,000,000/$3,000,000)
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Effective date and expiration date (Policy coverage dates)
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Policy number
- Explanation to all “Yes” responses on “Professional Information” questionnaire.
You must not leave any sections blank. Write N/A if not applicable.
- Signed and dated Attestation statement.
- Hold Harmless Agreement (for SC Providers only)
If you have any questions while completing the recredentialing application, please call us
at (704)895-8117 ext 2. We will be happy to assist you!
Provider Rights:
The following rights are for each provider applying for credentialing and/or recredentialing with CNC:
- To review information submitted to support credentialing application
- To correct erroneous information
- To be informed, upon request, of their credentialing and/or recredentialing application status
- To be notified of these rights
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