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Accepting Patients (Primary Care Practitioners Only): For Primary Care Practitioners only, we list whether the practitioner is accepting new patients into their practice, or if any special conditions apply. This information is provided by the practitioner’s application at credentialing and re-credentialing, every three years. When Ultimate Health Plans receives updated information, it is verified and the website is updated within 30 days. All Specialty Practitioners listed in the directory are currently accepting patients.
Board Accreditation: Refers to a branch of medicine in which the physician specializes, and has received additional education. This information is provided by the physician’s application, and is verified upon credentialing and re-credentialing, every three years.
Board Accreditation information is verified through the medical organization(s) that certify the specialties, such as the American Board of Medical Specialties. When Ultimate Health Plans receives updated information, it is verified and the website is updated within 30 days.
Affiliation: Refers to the hospital(s) to which the physician may admit patients. The information is provided by the physician’s application which indicates status and any limitations (example active, admitting, provisional or consulting). This information is verified directly through the hospital(s) at credentialing and at re-credentialing, every three years. When Ultimate Health Plans receives updated information, it is verified and the website is updated within 30 days.
Additional Languages: Refers to language(s) that a practitioner speaks fluently in addition to English. This information is self-reported with the practitioner's application at credentialing and re-credentialing, every three years, but it is not verified. When Ultimate Health Plans receives updated information, it is verified and the website is updated within 30 days.
HEDIS (Healthcare Effectiveness Data and Information Set): Refers to a government measurement tool used by more than 90 percent of health plans in the U.S. to measure performance on important aspects of care and service that a provider or health plan provides.