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2012 Addendum to 2012 Provider Manual for Advance Medicare Coventry Health Care of Georgia, Inc 1100 Circle 75 Parkway Suite 1400 Atlanta, GA 30339 6782022100 (800) 4702004 www.ga.chcadvantra.com
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How to fill out the 2012 Medicare Manual Addendum:

01
Start by reviewing the instructions: Familiarize yourself with the purpose of the addendum and any specific guidelines provided. Understand the importance of completing it accurately and thoroughly.
02
Gather the necessary information: Collect all relevant documents, forms, and records that are required to complete the addendum. This may include medical bills, Medicare numbers, and any other supporting documentation.
03
Read each section carefully: Take your time to understand the questions and prompts in the addendum. Ensure that you comprehend what is being asked before providing your answers.
04
Provide accurate and complete information: Fill out all required fields accurately and honestly. Double-check your answers before moving to the next section to avoid errors or misinformation.
05
Attach supporting documents, if necessary: If there are any supporting documents or records that need to be included with the addendum, make sure to gather them and attach them in the designated areas. This will help provide a comprehensive overview of your situation.
06
Review and proofread your answers: Once you have completed filling out the addendum, take the time to review your responses. Look for any mistakes, omissions, or areas that require clarification. Correct any errors before submitting it.

Who needs the 2012 Medicare Manual Addendum:

01
Medicare beneficiaries: Individuals who are enrolled in the Medicare program for 2012 and have received the manual should consider whether they need to fill out the addendum. It is essential for some beneficiaries to provide additional information or updates regarding their healthcare needs or circumstances.
02
Healthcare providers: Healthcare professionals involved in providing services to Medicare beneficiaries may need to complete the addendum as required by Medicare regulations. This ensures that accurate and up-to-date information is documented, helping to facilitate proper reimbursement and quality care.
03
Medicare contractors: The 2012 Medicare Manual Addendum may also be necessary for Medicare contractors responsible for processing claims and ensuring compliance with Medicare guidelines. The addendum helps them gather the required information to accurately assess claims and make appropriate determinations.
Note: It is important to consult the official Medicare resources and guidelines for specific instructions regarding the 2012 Medicare Manual Addendum, as requirements may vary based on individual circumstances and applicable regulations.
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Medicare manual addendum provider is a form used to submit additional information to support a Medicare claim.
Healthcare providers and suppliers who need to provide extra details to support their Medicare claims.
The form can be filled out electronically or by hand, following the instructions provided by Medicare.
The purpose of the form is to ensure that all necessary information is provided to process Medicare claims accurately and efficiently.
Specific additional details requested by Medicare to support the claim being filed.
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