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Accreditation & Oversight

URAC

Draft — pending verification

This reference entry has not yet been verified against its authoritative source (Original definitions; regulatory facts to be verified against CMS-0057-F (89 FR 8758) and X12/HL7 documentation). Do not rely on it for production configuration until this notice is removed.

In more depth

For UM vendors and delegated entities, URAC accreditation often functions as a market-entry credential payers require in delegation contracts. Its standards overlap heavily with NCQA's; organizations choose based on state recognition and line of business.