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Neighborhood Health Plan of Rhode Island (Neighborhood) contracted providers and facilities are required to accommodate members with disabilities by providing services that are geographically and physically

How to fill out contracted providers and facilities

How to fill out contracted providers and facilities:

1. Gather all necessary information: Before filling out contracted providers and facilities, make sure you have all the required information such as provider names, contact details, services offered, and any contractual agreements.
2. Review the contract: Understand the terms and conditions outlined in the contract to accurately fill out the providers and facilities section. Pay attention to any specific requirements or restrictions mentioned.
3. Enter provider details: Start by entering the provider's name, address, and contact information. This could include the primary contact person, phone number, email address, and fax number.
4. Specify the services offered: For each contracted provider, clearly indicate the specific services they offer. This could include medical services, specialized treatments, laboratory testing, or any other services agreed upon in the contract.
5. Include any additional information: If there are any additional details or notes related to a particular provider or facility, make sure to include them. This could be important information about their availability, operating hours, or any specific requirements for accessing their services.
6. Maintain accuracy and consistency: Double-check all the information entered for accuracy and consistency. Typos or errors when filling out the contracted providers and facilities section could lead to confusion or complications later on.

Who needs contracted providers and facilities?

1. Healthcare organizations: Hospitals, clinics, and healthcare facilities require contracted providers and facilities to ensure they have a network of trusted providers to offer their patients a wide range of services.
2. Insurance companies: Insurance companies work with contracted providers and facilities to create a network of healthcare professionals and facilities that policyholders can access. This helps in managing healthcare costs and ensuring policyholders receive appropriate care.
3. Patients: Patients benefit from contracted providers and facilities as it allows them access to a variety of healthcare services within a preferred network. Having contracted providers ensures that patients can receive cost-effective care and have a streamlined process for referrals and treatments.

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What is contracted providers and facilities?

Contracted providers and facilities are the healthcare professionals, hospitals, clinics, and other medical facilities that have a formal agreement with an insurance company to provide services to their members at a negotiated rate.

Who is required to file contracted providers and facilities?

Insurance companies and healthcare organizations are required to file information about their contracted providers and facilities.

How to fill out contracted providers and facilities?

Contracted providers and facilities can be filled out by providing the necessary information such as name, address, contact details, and services offered by the provider or facility.

What is the purpose of contracted providers and facilities?

The purpose of contracted providers and facilities is to ensure that members have access to quality healthcare services at a discounted rate through their insurance coverage.

What information must be reported on contracted providers and facilities?

Information such as provider or facility name, address, contact information, services offered, and negotiated rates must be reported on contracted providers and facilities.