Definitions
This page is where you will find the initiation of our credentialing Definitions section.
What is page 1 of the Sanford Credentials Policy?
This article or section of the credentials policy houses information on provider threshold eligibility.
What is article 2 Qualifications, Conditions, and Responsibilities?
This page of the Sanford Credentials Policy initiates article 2: Qualifications, Conditions, and Responsibilities.
What is page 9 of Sanford's Credentials Policy?
This is the amount of time Employment History is verified for on an initial appointment.
What is the previous 5 years?
This information on the provider's NPIF form indicates that a provider would need to have Health Plan added to their Facilities page.
What is Billable Provider?
This refers to a fully licensed and certified Clinical Nurse Specialist (CNS), Certified Nurse Practitioner (CNP), Certified Nurse Midwife (CNM) or Certified Registered Nurse Anesthetist (CRNA).
What is an Advanced Practice Registered Nurse (APRN)?
Eligibility criteria dictates that this type of coverage must be carried by the applicant in amounts of at least $1,000,000 per claim and $3,000,000 aggregate.
What is our Malpractice Insurance requirement?
This article under the Responsibilities section details who is responsible for providing information during the application phase of a providers appointment.
What is article 2.B.2. Burden of Providing Information?
This report prepared by the insurance agent provides a detailed description of the claims including the date, status, and amount paid.
What is Claims History?
This button under application review allows you to send the application back to the provider asking for additional information, automatically storing it in communications.
What is the Incomplete button under Application Review?
These Practitioners are granted clinical privileges and are permitted to function independently within a written Scope of Practice. This includes Chiropractors, Optometrists, Podiatrists, Psychologists and Licensed Independent Counselors
What is a Licensed Independent Practitioner (LIP)?
This must be demonstrated in a practitioner's primary area of practice within the last two years.
What is recent clinical activity?
This article under the Qualifications section details when a provider can bypass the threshold eligibility criteria.
What is article 2.A.2, Waiver of Threshold Eligibility Criteria?
This name is given to the site at which the patient is located while receiving telemedicine services.
What is an Originating Site?
This should be verified under the demographics section based on information in the facilities page before checking in an application to ensure the file goes to the right CVS specialist(s).
What is the Primary Region?
This page of the Sanford Credentials Policy provides a definition for a Notice.
What is page 4 of the Sanford Credentials Policy?
This page of the credentialing policy contains information on residency program criteria, ABMS board criteria and necessary relationships of Professional Health Staff with Medical Centers.
What is page 11 of the Sanford Credentialing Policy?
This page of the Sanford Credentials Policy contains details on our authorization to seek and obtain information necessary for making a credentialing decision agreed upon by the applicant.
What is page 21 of the Sanford Credentialing Policy?
This process determines if a provider will have a Solutions facility page.
What is Enterprise Approval?
What are Peer References and Work History?
This number under the definitions section provides details on who is considered Professional Health Staff by our credentialing policy.
What is definition number 39?
This letter under the sub category of threshold eligibility provides the eligibility requirements for those applying for Professional Health Staff.
What is letter P under the threshold eligibility sub category?
These letters include details on what all practitioners agree to by applying for appointment under Sanford's Credentialing policy?
What are letters A-W of article 2.B.1 Basic Responsibilities and Requirements?
These are the three classifications you could see for Solutions by Sanford Providers.
What are "employed with side letter", "independent contractor", and "employed by solutions" ?
These two key dates should be validated on the CVS workflow when checking in an application in order for it to be assigned out.
What are Application Checked in and Workflow Return Date?