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PERFORMING PROVIDER
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State of Texas
Managed Transportation OrganizationTEAMWORK AND CONTINUOUS IMPROVEMENTRevised July 14, 2016Table of Contents
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What is performing provider?
Performing provider refers to a healthcare professional or entity who provides services that are reimbursed by insurance or government healthcare programs.
Who is required to file performing provider?
Any healthcare professional or entity who provides reimbursable services is required to file performing provider.
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Performing provider information can be filled out online through the designated portal or submitted via paper forms depending on the healthcare program.
What is the purpose of performing provider?
The purpose of performing provider is to accurately report the services provided to patients in order to receive proper reimbursement from insurance or government healthcare programs.
What information must be reported on performing provider?
Information such as services provided, dates of service, patient demographics, provider information, and billing codes must be reported on performing provider.
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