
Get the free Provider Enrollment Contact Information for STAR Plans
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Provider Enrollment Contact Information for STAR Plans
Service Area
Bexar Service Area
Tacoma, Band era, Bexar, Coal,
Guadalupe, Kendall, Medina and
Wilson CountiesPlan Name
AETNA Better HealthAmerigroupCommunity
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How to fill out provider enrollment contact information

How to Fill Out Provider Enrollment Contact Information:
01
Begin by gathering all necessary contact information such as name, address, phone number, and email address.
02
Ensure that the contact information provided is accurate and up to date.
03
If filling out an online form, navigate to the appropriate section or page where you are required to input the contact information.
04
Enter your full name in the designated field. Make sure to double-check for any spelling errors.
05
Provide your current residential address, including the street name and number, city, state, and zip code.
06
Input your preferred telephone number, preferably one that you can easily be reached at for communication related to provider enrollment.
07
Include a valid email address that you frequently check to receive important updates and correspondence.
08
If required, add any additional contact information such as a secondary phone number or fax number.
09
Review all the information you have entered to ensure accuracy and completeness.
10
When you are satisfied with the information provided, submit the form or save it if filling it out electronically.
Who Needs Provider Enrollment Contact Information:
01
Healthcare providers who are applying for enrollment or revalidation of their services with specific insurance plans or government healthcare programs such as Medicare or Medicaid.
02
Providers who have made changes to their contact information such as a new address, phone number, or email address and need to update these details with the relevant entities.
03
Insurance companies or government agencies that require accurate provider contact information to facilitate communication, billing, and other administrative processes.
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What is provider enrollment contact information?
Provider enrollment contact information includes the details of individuals who manage the enrollment process for a healthcare provider.
Who is required to file provider enrollment contact information?
Healthcare providers or their designated representatives are required to file provider enrollment contact information.
How to fill out provider enrollment contact information?
Provider enrollment contact information can be filled out online through the designated enrollment portal or submitted via mail.
What is the purpose of provider enrollment contact information?
The purpose of provider enrollment contact information is to ensure that the responsible individuals can be reached for any enrollment-related communication or inquiries.
What information must be reported on provider enrollment contact information?
Provider enrollment contact information typically includes names, contact numbers, email addresses, and other pertinent details of the individuals managing the enrollment process.
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