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Provider Membership Application Oregon Association for Home Care4676 Commercial St. SE #449 Salem, OR 97302Phone: (503) 3642733 Fax: (877) 4588348 www.oahc.org2018 Membership Applications are Due

How to fill out 2018 provider member application

How to fill out 2018 provider member application

1. Start by accessing the 2018 provider member application form.
2. Read the instructions and guidelines carefully before filling out the application.
3. Provide accurate personal information, including your name, address, and contact details.
4. Specify your professional qualifications, specialty, and any relevant certifications.
5. Fill out the sections related to your practice, such as the medical facility or organization you are affiliated with.
6. Provide details about the services you offer and any additional information requested, such as previous affiliations or hospitals you work at.
7. Double-check all the information you have entered for accuracy and completeness.
8. Submit the completed application form along with any supporting documents, if required.

Who needs 2018 provider member application?

1. Any healthcare provider or professional who wishes to join a provider network or become a member for the year 2018 needs to fill out the 2018 provider member application. This includes doctors, nurses, specialists, therapists, and other healthcare professionals who want to be part of a network or organization that offers healthcare services.

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What is provider member application?

Provider member application is a form that providers fill out to apply to become a member of a specific provider network or organization.

Who is required to file provider member application?

Healthcare providers who wish to join a specific provider network or organization are required to file a provider member application.

How to fill out provider member application?

Providers can fill out the provider member application either online or by submitting a paper form with required information and supporting documents.

What is the purpose of provider member application?

The purpose of provider member application is to gather information about the provider's qualifications, experience, and credentials to determine their eligibility for membership in a provider network or organization.

What information must be reported on provider member application?

Providers are typically required to report their contact information, medical licenses, certifications, education, work experience, and references on the provider member application.