Once you have been initially accepted in our PPO USA Network, you will be considered to be approved in the recredentialing process we perform every three years unless you are otherwise notified by GEHA. You must continue to meet or exceed our credentialing criteria in order to remain in the network. Material adverse credentialing information received by the networks during your recredentialing process and/or any ongoing monitoring of credentials for you will be considered by our Peer Review Committee and/or Medical Director in accordance with our Credentialing Legal Policies and Procedures.

You will be notified in writing of any change in your status of participation in our network, and you may have the right to appeal certain adverse changes in your status. Your network participation appeal rights are included in our Network Policies and Procedures Policy No. 1, Network Appeals and Grievances, which is included in our Provider Manual. GEHA has the right to determine the composition of its PPO USA Network and any subset thereof.

You have the right to correct any missing, incorrect or conflicting credentialing information that we receive about you. If we determine that you have missing, incorrect or conflicting information, we will notify you in writing within 30 days of our determination. You should notify us in writing by email, facsimile or regular mail of the additional information about your credentials and make sure you send it to the contact person identified in our letter to you. You may also notify us by telephone and we will create a written summary of the information you provide in your call. Any additional information you provide to us will be considered in our credentialing process and placed in your credentialing file.