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SOONER CARE PHYSICIAN PROVIDER AGREEMENTBased upon the following recitals, the Oklahoma Health Care Authority (HCA hereafter) and (PROVIDER hereafter) enter into this Agreement:(Print Physicians Name)ARTICLE
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How to fill out physician provider agreement template

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How to fill out physician provider agreement

01
Obtain a copy of the physician provider agreement form from the relevant healthcare organization.
02
Review the agreement carefully, paying attention to all terms and conditions.
03
Fill in your personal information accurately, including your full name, contact details, and any professional credentials or licenses.
04
Provide your Tax Identification Number (TIN) or National Provider Identifier (NPI) if requested.
05
Indicate the type of healthcare services you will be providing as a physician.
06
Specify the duration of the agreement, whether it is for a fixed term or ongoing until either party terminates.
07
If applicable, include any fee schedules or reimbursement rates you require.
08
Sign and date the agreement, and make copies for your records.
09
Submit the completed agreement to the healthcare organization according to their specified process.
10
Keep a copy of the fully executed agreement for your reference.

Who needs physician provider agreement?

01
Physicians who wish to provide medical services to a healthcare organization or facility.
02
Healthcare organizations or facilities that require physicians to enter into formal agreements to establish their roles, responsibilities, and compensation terms.

What is PHYSICIAN PROVIDER AGREEMENT Form?

The PHYSICIAN PROVIDER AGREEMENT is a document that has to be filled-out and signed for certain purpose. In that case, it is furnished to the exact addressee in order to provide specific information of any kinds. The completion and signing can be done or using a suitable tool e. g. PDFfiller. These services help to complete any PDF or Word file online. While doing that, you can edit its appearance for your needs and put a legal digital signature. Once you're good, the user sends the PHYSICIAN PROVIDER AGREEMENT to the respective recipient or several recipients by mail or fax. PDFfiller provides a feature and options that make your document of MS Word extension printable. It has a number of options for printing out. It doesn't matter how you will file a document - physically or electronically - it will always look professional and clear. To not to create a new document from the beginning over and over, turn the original form as a template. Later, you will have a customizable sample.

Instructions for the form PHYSICIAN PROVIDER AGREEMENT

Once you're about to begin filling out the PHYSICIAN PROVIDER AGREEMENT writable form, you'll have to make certain that all required details are prepared. This one is highly important, due to mistakes may cause undesired consequences. It can be irritating and time-consuming to re-submit forcedly the whole editable template, letting alone the penalties came from blown due dates. Work with figures requires more concentration. At first glance, there is nothing complicated about this. Yet, there's no anything challenging to make an error. Professionals recommend to save all data and get it separately in a file. When you've got a template, you can just export that content from the document. Anyway, all efforts should be made to provide accurate and correct data. Check the information in your PHYSICIAN PROVIDER AGREEMENT form carefully when filling out all required fields. In case of any mistake, it can be promptly corrected via PDFfiller editing tool, so that all deadlines are met.

Frequently asked questions about PHYSICIAN PROVIDER AGREEMENT template

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As per ESIGN Act 2000, documents filled out and authorized by using an e-sign solution are considered to be legally binding, equally to their hard analogs. It means that you can rightfully complete and submit PHYSICIAN PROVIDER AGREEMENT word form to the individual or organization needed using electronic signature solution that fits all requirements depending on its legal purposes, like PDFfiller.

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