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NPI/LPI 22c. ZIP 4 for nine digits required 22d. Requested start date at 22e. Termination date at 22f. Rendering Medicare 22g. Be enrolled as an IHCP rendering provider linked to a DMHA-approved IHCP-enrolled Medicaid Rehabilitation Option MRO provider. Providers shall review the HHS-OIG List of Excluded Individuals/Entities LEIE database for excluded parties. 22. To make full reimbursement to the FSSA or its fiscal agent of any federal disallowance incurred by the FSSA when such disallowance...
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How to fill out group or clinic providers

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Step 1: Gather all necessary information about the group or clinic, such as name, address, contact details, and any specific requirements or qualifications.
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Step 2: Access the provider enrollment or credentialing system of the relevant healthcare organization or insurance company.
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Step 3: Create a new group or clinic provider profile within the system.
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Step 4: Fill out the required fields, which may include general information about the group or clinic, such as its legal structure, specialty, and services offered.
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Step 5: Provide details about the individual providers who are part of the group or clinic, including their names, credentials, contact information, and any relevant certifications or licenses.
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Step 6: Submit the completed provider profile for review and verification.
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Step 7: Follow up with the healthcare organization or insurance company to ensure the enrollment or credentialing process is progressing smoothly.
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Step 8: Once approved, regularly update the group or clinic providers' information as needed, such as adding new providers or updating contact details.
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Step 9: Maintain compliance with all applicable rules, regulations, and quality standards to retain active status as a group or clinic provider.

Who needs group or clinic providers?

01
Medical groups or clinics that offer healthcare services to patients.
02
Healthcare organizations, such as hospitals or insurance companies, that require accurate provider information for efficient network management and claims processing.
03
Patients and their families who need to access reliable and comprehensive healthcare services from a group or clinic.
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Government agencies or regulatory bodies that oversee healthcare provider enrollment and credentialing.
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Group or clinic providers refer to a group of healthcare providers or clinics that provide medical services or treatments.
Group or clinic providers are required to file their information with the appropriate governing bodies or regulatory agencies.
Group or clinic providers can fill out their information by providing details about their organization, services offered, and contact information.
The purpose of group or clinic providers is to ensure that patients have access to a comprehensive range of medical services and treatments.
Information that must be reported on group or clinic providers includes the provider's name, address, services offered, and any certifications or accreditations.
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