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Preauthorization Please NoteThroughout this provider manual there will be instances when there are references unique to a particular HMO network. These network specific requirements will be noted
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The provider manual covers policies, procedures, and guidelines for healthcare providers.
All healthcare providers who are part of the network are required to follow the guidelines outlined in the provider manual.
Providers must carefully read and understand the information provided in the manual, and follow the outlined procedures when providing services.
The purpose of the provider manual is to ensure that all healthcare providers maintain a standard level of care and adhere to the regulations set forth by the network.
Providers are required to report information such as patient demographics, treatment plans, and billing details as outlined in the manual.
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