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Uniform Credentialing Application

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The completed application may be submitted to hospitals, ambulatory surgery centers, managed care organizations, and other entities requiring credentials verification.   

PLEASE DO NOT SEND THE APPLICATION TO THE
OKLAHOMA STATE DEPARTMENT OF HEALTH

 


Law and Rule

    Law Excerpt, 63-1-106.2 (12K PDF)

    Rule Excerpt, 310:2-15 (10K PDF)


Application

Frequently Asked Questions (FAQ) & Uniform Credentialing Application (PDF)

Frequently Asked Questions (FAQ) & Uniform Credentialing Application (dotx)

Uniform Credentialing Application (PDF)

Uniform Credentialing Application (dotx)

Uniform Credentialing Application (rtf)

 


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Contact Information

Managed Care Systems
Health Resources Development Service

1000 N.E. 10th Street
Oklahoma City, OK 73117
Main  405.271.6868
Fax  405.271.5304
E-mail   Click here to email a question 

 

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