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This document outlines the billing procedures, required identification numbers, claims review processes, and guidelines for providers submitting claims to Care1st, including necessary forms and modifiers.
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How to fill out care1st provider manual
How to fill out Care1st Provider Manual
01
Review the Care1st Provider Manual requirements thoroughly.
02
Gather all necessary documentation and information needed for your application.
03
Fill out each section of the manual step by step, ensuring accuracy.
04
Check for any specific guidelines or instructions relevant to your type of provider.
05
Submit the completed manual according to the instructions given in the manual. Make sure to keep a copy for your records.
Who needs Care1st Provider Manual?
01
Healthcare providers looking to partner with Care1st.
02
Medical professionals seeking to understand policies and procedures.
03
Administrative staff managing provider relationships.
04
Any entity interested in compliance with Care1st regulations.
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People Also Ask about
What is the new name for Care1st?
On January 1, 2019, Blue Shield of California will complete the integration of Care1st Health Plan into its operations, and Care1st's name will change to Blue Shield of California Promise Health Plan. The newly named health plan will remain a separate company and a wholly owned subsidiary of Blue Shield of California.
Who owns Care1st health Plan?
In 2015, Blue Shield of California bought Care1st Health Plan to help provide Californians access to high quality, affordable care. Under its new name, Blue Shield of California Promise Health Plan, the company will continue to serve Medi-Cal and Medicare members in Los Angeles and San Diego counties.
What is the payer ID for Care1st?
Use payer ID “43324” for LA Care, CareMore, Care1st, Alameda Alliance, Orange County Mental Health Plan, Anthem Santa Clara (CalMediConnect), Gold Coast Health Plan, Partnership Health Plan, Central California Alliance for Health, San Francisco Health Plan, and Health Plan of San Joaquin.
Who owns First health Network?
The First Health Network has been owned by Aetna, Inc. since 2013. Aetna is a well-known health insurance company. First Health is a part of Aetna's network of health insurance providers.
Who owns First Choice Health Network?
First Choice Health, headquartered in Seattle, WA, is a provider-owned healthcare organization offering employers a forward-thinking alternative to traditional health insurance.
Who owns Care1st?
In 2015, Blue Shield of California acquired Care1st Health Plan, a provider-founded managed care company based in Los Angeles County.
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What is Care1st Provider Manual?
The Care1st Provider Manual is a comprehensive guide that outlines the policies, procedures, and requirements for providers participating in the Care1st health plan.
Who is required to file Care1st Provider Manual?
All healthcare providers and facilities that wish to participate in the Care1st network and provide services to its members are required to file the Care1st Provider Manual.
How to fill out Care1st Provider Manual?
To fill out the Care1st Provider Manual, providers must carefully review each section, complete all necessary forms accurately, and submit any required documentation as outlined in the manual.
What is the purpose of Care1st Provider Manual?
The purpose of the Care1st Provider Manual is to ensure consistent quality of care, compliance with regulations, and clear communication of responsibilities between Care1st and its providers.
What information must be reported on Care1st Provider Manual?
Providers must report information related to their qualifications, services offered, billing practices, compliance with state and federal regulations, and any changes in provider status.
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