Form preview

Get the free Prominence (HMO) Service Area:

Get Form
2017 MEDICARE ADVANTAGE PROVIDER AND PHARMACY DIRECTORY Prominence (HMO) Service Area: Was hoe, Carson City, Douglas, Lyon and Story countiesY0109×PEPPD17NV Y0109×PEPPD17NV×NM_CMS Accepted2017
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign prominence hmo service area

Edit
Edit your prominence hmo service area form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your prominence hmo service area form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing prominence hmo service area online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the steps down below to benefit from a competent PDF editor:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit prominence hmo service area. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Save your file. Select it in the list of your records. Then, move the cursor to the right toolbar and choose one of the available exporting methods: save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out prominence hmo service area

Illustration

How to fill out prominence hmo service area

01
Start by obtaining a copy of the Prominence HMO service area form.
02
Carefully read through the form to understand the instructions and requirements.
03
Begin filling out the form by providing your personal information such as name, address, and contact details.
04
Next, provide information about your healthcare business, including the name, location, and contact information.
05
Specify the types of healthcare services or specialties offered by your business.
06
Indicate the geographical area or region where your healthcare services are available.
07
If there are any restrictions or limitations to your service area, clearly mention them.
08
Double-check all the information provided for accuracy and completeness.
09
Sign and date the form to certify the accuracy of the information.
10
Submit the completed form to the relevant authority or organization as instructed.

Who needs prominence hmo service area?

01
Healthcare professionals or organizations who wish to participate in the Prominence HMO network and provide healthcare services in a specific geographical area.
02
Insurance companies or healthcare payers who require accurate and up-to-date information about the service area coverage of healthcare providers.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.4
Satisfied
27 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Use the pdfFiller app for iOS to make, edit, and share prominence hmo service area from your phone. Apple's store will have it up and running in no time. It's possible to get a free trial and choose a subscription plan that fits your needs.
With the pdfFiller Android app, you can edit, sign, and share prominence hmo service area on your mobile device from any place. All you need is an internet connection to do this. Keep your documents in order from anywhere with the help of the app!
On Android, use the pdfFiller mobile app to finish your prominence hmo service area. Adding, editing, deleting text, signing, annotating, and more are all available with the app. All you need is a smartphone and internet.
Prominence HMO service area refers to the specific geographic region where Prominence Health Plan offers its health maintenance organization services.
Health insurance companies like Prominence Health Plan are required to file their service areas with the appropriate regulatory bodies.
Prominence Health Plan must submit a detailed list of the counties and zip codes included in their HMO service area.
The purpose of filing the HMO service area is to inform regulators and consumers about the specific regions where Prominence Health Plan operates.
Prominence Health Plan must report the counties, zip codes, and any other relevant geographic information regarding their HMO service area.
Fill out your prominence hmo service area online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.