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Cenpatico Provider Manual State of Illinois www. cenpatico. com v. 2014 Cenpatico Illinois Provider Manual Page 1 TABLE OF CONTENTS Mission. Submitting Your NPI to Cenpatico Please visit www. cenpatico. com to submit your NPI number. Network Providers may elect to contact the Cenpatico Provider Relations department by phone to share their NPI. Or HCPC and up to 4 modifiers may be entered per claim line. Codes entered must be valid for 24D PROCEDURES SERVICES OR SUPPLIES CPT/HCPCS MODIFIER...

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Gather all necessary documents and information such as personal identification, income statements, and medical history.

02

Go through each section and provide accurate and complete information.

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Start with the personal information section and fill in details like name, address, contact information, and date of birth.

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Who needs countycare fact sheet?

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Individuals who are seeking healthcare coverage through countycare program.

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What is countycare fact sheet?

CountyCare fact sheet is a document that provides detailed information about the CountyCare program and its services.

Who is required to file countycare fact sheet?

Healthcare providers participating in the CountyCare program are required to file the fact sheet.

How to fill out countycare fact sheet?

CountyCare fact sheet can be filled out online or by submitting a physical form with the required information.

What is the purpose of countycare fact sheet?

The purpose of CountyCare fact sheet is to ensure accurate reporting of information related to the CountyCare program.

What information must be reported on countycare fact sheet?

Information such as patient demographics, services provided, and payments received must be reported on the CountyCare fact sheet.

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