Participating Providers in a Health Plan's Network Must Undergo Recredentialing

question 138

Multiple Choice

Participating providers in a health plan's network must undergo recredentialing on a regular basis. During recredentialing, a health plan typically reviews

• A) a provider's current, updated application information, as well as provider's peer reviews and performance reports on the provider
• B) a provider's current, updated application information, as well as the provider's education and prior work history
• C) a provider's education and prior work history only
• D) peer reviews and performance reports on a provider and the provider's prior work history only

---

Definitions:

Racialized Knowledge

The concept that knowledge and truth are influenced by and serve to perpetuate racial hierarchies and biases in society.

East-West Relations

The diplomatic, cultural, and economic interactions between Eastern and Western countries, often highlighting geopolitical tensions and cooperation.

Southern Theory

A critical approach in sociology that highlights and addresses the biases and limitations of theories developed in the global North, advocating for perspectives from the global South.

Religious Rituals

Prescribed behaviors in a religious context, often involving ceremonies or performances, that are practiced by a community to embody or express their faith.