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Provider Manual January 2014 CHAPTER 1 INTRODUCTION TO MERCY MARICOPA ADVANTAGE (MMA) HMO CHAPTER 2 MMA CONTACT INFORMATION CHAPTER 3 PROVIDER RELATIONS CHAPTER 4 PROVIDER RESPONSIBILITIES 1.0 1.1
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How to fill out mercy maricopa advantage provider

How to fill out Mercy Maricopa Advantage Provider:
01
Obtain the necessary forms: Visit the Mercy Maricopa Advantage website or contact their customer service to obtain the required forms to become a provider. Make sure to gather all the necessary documents and information before proceeding.
02
Complete the provider application: Carefully fill out the provider application form, providing accurate and updated information about your practice or organization. Include details such as contact information, services provided, certifications, and any affiliations you may have.
03
Submit supporting documentation: Along with the application form, you will need to submit supporting documentation. This may include copies of your professional licenses, certifications, malpractice insurance, and any other relevant documents requested by Mercy Maricopa Advantage.
04
Credentialing process: Mercy Maricopa Advantage will review your application and supporting documentation to determine if you meet the necessary requirements to become a provider. This process may involve verifying your credentials, conducting background checks, and assessing your qualifications. They will notify you of their decision once the credentialing process is complete.
05
Contract agreement: If your application is approved, you will be required to sign a contract agreement with Mercy Maricopa Advantage. This agreement outlines the terms and conditions for providing services as a network provider. Review the contract carefully before signing and seek legal advice if needed.
Who needs Mercy Maricopa Advantage Provider?
01
Individuals in Arizona: Mercy Maricopa Advantage is a healthcare plan designed for individuals residing in Maricopa County, Arizona. People who live in this area and are seeking comprehensive healthcare coverage can benefit from becoming a member of Mercy Maricopa Advantage.
02
Individuals with AHCCCS eligibility: AHCCCS (Arizona Health Care Cost Containment System) is Arizona's Medicaid program. Individuals who are eligible for AHCCCS can choose Mercy Maricopa Advantage as their healthcare plan. This can include low-income individuals, pregnant women, families with children, individuals with disabilities, and elderly individuals.
03
Individuals seeking behavioral health services: Mercy Maricopa Advantage specializes in providing behavioral health services. People who require mental health and substance abuse treatment, counseling, therapy, or related services can benefit from Mercy Maricopa Advantage Provider. This includes individuals with psychiatric illnesses, addiction issues, and other behavioral health concerns.
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What is mercy maricopa advantage provider?
Mercy Maricopa Advantage Provider is a network of healthcare providers that offer services to members of the Mercy Maricopa Integrated Care health plan.
Who is required to file mercy maricopa advantage provider?
Healthcare providers who are part of the Mercy Maricopa Advantage Provider network are required to file this information.
How to fill out mercy maricopa advantage provider?
Providers must submit the required information electronically through the designated portal or software provided by Mercy Maricopa Integrated Care.
What is the purpose of mercy maricopa advantage provider?
The purpose of the Mercy Maricopa Advantage Provider is to maintain accurate and up-to-date information on healthcare providers within the network.
What information must be reported on mercy maricopa advantage provider?
Providers must report information such as their contact details, specialties, languages spoken, and availability for appointments.
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