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Get the free PROVIDER TYPE PROFILE - azahcccs

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This document outlines the provider type profile for Physicians Assistants, detailing reimbursement types, categories of service, licensing requirements, and supervision mandates.
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How to fill out provider type profile

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How to fill out PROVIDER TYPE PROFILE

01
Gather necessary information about the provider.
02
Identify the appropriate provider type from the list.
03
Fill in the provider's basic details: name, contact information, address.
04
Describe the services offered by the provider clearly.
05
Specify the qualifications and certifications of the provider.
06
Review the filled profile for accuracy and completeness.
07
Submit the profile for approval or save as needed.

Who needs PROVIDER TYPE PROFILE?

01
Healthcare organizations that require provider information.
02
Insurance companies assessing provider credentials.
03
Patients looking for reliable healthcare providers.
04
Regulatory bodies monitoring healthcare provider compliance.
05
Software systems managing healthcare provider data.
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A code describing the type of provider (i.e. doctor or facility) responsible for treating a patient. This represents the attending physician if available. If the state uses state-specific codes, they should map their internal codes to the CMS standard list provided.
Examples of AHCCCS provider type in a sentence For the purposes of this policy, a Behavioral Health Outpatient and Integrated Clinic is defined as a facility operating using AHCCCS provider type 77 “Behavioral Health Outpatient Clinic” and IC “Integrated Clinic”.

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The PROVIDER TYPE PROFILE is a document or form used to categorize and detail the specific characteristics of service providers in a given sector, helping to classify them based on their type and service offerings.
Organizations and individuals who provide services within regulated industries, such as healthcare, education, or social services, are typically required to file a PROVIDER TYPE PROFILE to ensure compliance with applicable standards.
To fill out a PROVIDER TYPE PROFILE, one must gather necessary information about the provider's services, qualifications, operational details, and any relevant certification or licensing, then accurately complete the form according to the guidelines provided.
The purpose of the PROVIDER TYPE PROFILE is to create a standardized approach to evaluate and classify service providers, ensuring transparency, accountability, and compliance with industry regulations.
Information typically required includes the provider's name, contact details, types of services offered, service area, licensing information, qualifications, and any other relevant certifications or compliance records.
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