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Get the free HMSA Service Coordination Provider Brochure - 4/16

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Provider Attestation for Model of Care Training I attest that my organization and its contracted providers have received the HSA Akamai Dual Care Plan Model of Care training. CMS Regulation 42 CFR
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01
To fill out the HMSA service coordination provider form, follow these steps:
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Gather all necessary information, such as provider details, patient information, and relevant medical history.
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Begin by filling out the provider details section, including the provider's name, contact information, and credentials.
04
Move on to the patient information section, providing details like the patient's name, date of birth, and current medical conditions.
05
Fill out the fields related to the patient's medical history, including any relevant diagnoses, medications, allergies, and prior treatments.
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Ensure that all required fields are completed accurately and thoroughly.
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Double-check the form for any errors or omissions before submitting it.
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Submit the completed form to the appropriate HMSA service coordination department, either by mail, fax, or through an online submission portal.
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Keep a copy of the completed form for your records.
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Await confirmation of receipt and follow-up communication from the HMSA service coordination provider.

Who needs hmsa service coordination provider?

01
The HMSA service coordination provider is needed by individuals who require assistance in coordinating their healthcare services.
02
This can include patients with complex medical conditions, individuals with chronic illnesses, those transitioning between healthcare providers or settings, and individuals who need support in navigating the healthcare system.
03
The service coordination provider helps in connecting patients with the appropriate healthcare services, coordinating appointments, managing the flow of medical information, and ensuring continuity of care.
04
They play a crucial role in helping patients access the resources and support necessary to effectively manage their healthcare needs.
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The HMSA service coordination provider is a designated entity or individual responsible for organizing and managing healthcare services for HMSA members.
Healthcare providers, facilities, or organizations that are contracted with HMSA to provide services to its members are required to file a service coordination provider.
The HMSA service coordination provider form can be filled out online through the HMSA provider portal or submitted through the mail.
The purpose of the HMSA service coordination provider is to ensure that HMSA members receive coordinated and quality healthcare services.
The HMSA service coordination provider form typically requires information such as provider name, contact information, services offered, and contract details.
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