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Get the free Practitioner Information for Member Directory Support

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This form is designed to collect additional information from healthcare practitioners to assist HMSA in updating their member directory, including details on practice location, parking, acceptance
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How to fill out Practitioner Information for Member Directory Support

01
Begin by gathering all necessary personal information such as full name, qualifications, and license number.
02
Enter the contact information including phone number, email address, and practice location.
03
Provide details regarding the areas of specialty or focus within your practice.
04
Include any relevant affiliations with professional organizations or networks.
05
Review the information for accuracy and completeness before submission.
06
Submit the completed Practitioner Information form to the Member Directory Support.

Who needs Practitioner Information for Member Directory Support?

01
Healthcare practitioners looking to be listed in the member directory.
02
Organizations managing member directories of healthcare professionals.
03
Patients seeking to verify the credentials of healthcare providers.
04
Insurance companies requiring practitioner information for claims processing.
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Practitioner Information for Member Directory Support is a set of data elements that healthcare practitioners are required to provide for inclusion in a member directory, ensuring accurate and accessible information for members seeking services.
Healthcare practitioners who are part of a health plan or network and wish to be listed in the member directory are required to file Practitioner Information for Member Directory Support.
Practitioners should obtain the necessary forms from their health plan or network, complete them with accurate information about their practice, qualifications, and contact details, and then submit the forms according to the guidelines provided.
The purpose of Practitioner Information for Member Directory Support is to ensure that members have access to accurate and up-to-date information about healthcare providers, enabling them to make informed decisions about their care.
Practitioners must report personal information such as name, specialty, contact information, practice location, credentials, and any additional information as required by the health plan or network.
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