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Advantage Health Plan HMO Franciscan Health Plan HMO Anthem Hoosier Healthwise MCE Yes No SELECTION OF COMMERCIAL PPO/POS SFHN provides credentialing only for these plans. INTENT TO PARTICIPATE FORM PROVIDER NAME SPECIALTY INDIANA MEDICAID Please note A provider must have an Indiana Medicaid Number to participate with Medicaid. SELECTION OF SFHN HEALTH PLANS SFHN has financial risk UM credentialing claims payment. Please contact health plans for contract and enrollment materials. Advantage...
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Step 1: Obtain the necessary form or online application for provider name specialty.
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Step 2: Fill in your personal information such as your name, contact details, and any required identifiers.
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Step 3: Specify the type of provider you are, such as a doctor, nurse, therapist, etc.
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Step 4: Clearly state the specialty or area of expertise you want to be listed under.
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Step 5: Provide any supporting documents or certifications related to your specialty.
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Step 6: Review the completed form for accuracy and completeness.
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Step 7: Submit the form according to the provided instructions, either online or by mail.
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Step 8: Wait for confirmation or approval from the appropriate authorities.
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Step 9: Keep a copy of the filled-out form and any supporting documents for your records.

Who needs provider name specialty?

01
Medical professionals who want their specialty recognized and included in official listings.
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Healthcare organizations that require accurate information about the specialties of their providers.
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Patients and individuals seeking specific types of medical care or specialist expertise.
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Insurance companies and regulatory agencies that need to verify the qualifications and specialties of providers.
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Medical associations and boards that maintain databases or directories of specialized providers.
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Provider name specialty refers to the specific area or type of service that a healthcare provider specializes in.
Healthcare providers are typically required to provide their name specialty when submitting claims or registering with insurance companies.
Provider name specialty can be filled out on forms provided by insurance companies or billing software when submitting claims.
The purpose of provider name specialty is to ensure that healthcare providers are properly identified and that claims are processed correctly based on their area of expertise.
Provider name specialty usually includes details about the specific medical services or procedures that the healthcare provider specializes in.
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