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2208 Highway 121 Suite 210 Bedford TX 76021 Phone 1-877-653-0331 http //starplus. cignahealthspring. All providers are subject to CHS credentialing requirements and applicable state and federal guidelines as set forth in the CHS provider agreement. Com All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation including HealthSpring Life Health Insurance Company Inc. The Cigna name logos and other Cigna marks are owned by Cigna...
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01
Step 1: Download the practitionersgroupancillaryupdate form from the official website.
02
Step 2: Read the instructions carefully to understand the required information.
03
Step 3: Start by entering the date in the designated field.
04
Step 4: Provide your personal details such as name, contact information, and address.
05
Step 5: Specify your current occupation and professional qualifications.
06
Step 6: Fill out the section related to the group or organization you are associated with.
07
Step 7: If applicable, mention any changes or updates in your ancillary services.
08
Step 8: Review the completed form to ensure accuracy and completeness.
09
Step 9: Sign and date the form.
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Step 10: Submit the filled-out practitionersgroupancillaryupdate form to the appropriate department.
Who needs practitionersgroupancillaryupdate form?
01
Healthcare practitioners affiliated with a group or organization.
02
Healthcare professionals providing ancillary services.
03
Individuals who have updates or changes in their ancillary services.
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What is practitionersgroupancillaryupdate form?
The practitionersgroupancillaryupdate form is a form used to update ancillary information for practitioners.
Who is required to file practitionersgroupancillaryupdate form?
All practitioners who need to update their ancillary information are required to file the practitionersgroupancillaryupdate form.
How to fill out practitionersgroupancillaryupdate form?
The practitionersgroupancillaryupdate form can be filled out online or through a paper form, by providing the necessary information and submitting it to the relevant authority.
What is the purpose of practitionersgroupancillaryupdate form?
The purpose of the practitionersgroupancillaryupdate form is to ensure that all practitioners have up-to-date ancillary information on file.
What information must be reported on practitionersgroupancillaryupdate form?
The practitionersgroupancillaryupdate form typically requires information such as contact details, certifications, and any relevant background information.
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