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Get the free Managed Care Contract - Washington State Health Care Authority

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Notice: We launched a new website. As a result, past versions of the billing guide, such as this one, have broken hyperlinks. Please review the current guide for the correct hyperlinks. Federally
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To fill out a managed care contract, follow these steps: 1. Obtain the contract document. 2. Read the contract carefully to understand its terms and requirements. 3. Gather all necessary information and documents, such as provider information, financial records, and insurance policies. 4. Complete the provider information section, including your name, contact details, and any relevant credentials. 5. Fill in the financial terms, including reimbursement rates, payment schedules, and any additional fees or incentives. 6. Review the contract for accuracy and completeness. 7. Sign and date the contract. 8. Make a copy of the signed contract for your records. 9. Submit the contract to the appropriate party or organization as instructed. 10. Keep a record of the submission and follow up if necessary.

Who needs managed care contract?

01
Managed care contracts are essential for healthcare providers, such as doctors, hospitals, clinics, and healthcare organizations, who want to participate in managed care networks. These contracts allow providers to offer their services to patients who are enrolled in managed care plans or insurance companies that utilize such networks. Additionally, healthcare professionals who want to establish relationships with managed care organizations and insurance companies can benefit from having managed care contracts in place.
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A managed care contract is a legal agreement between a healthcare provider and an insurance company or managed care organization that outlines the terms and conditions of providing healthcare services.
Healthcare providers, such as hospitals or medical practices, are required to file managed care contracts with insurance companies or managed care organizations.
Managed care contracts can be filled out by following the guidelines provided by the insurance company or managed care organization. These contracts typically require information on services provided, pricing, and other terms and conditions.
The purpose of a managed care contract is to establish a formal agreement between a healthcare provider and an insurance company or managed care organization to ensure the provision of healthcare services in a cost-effective and efficient manner.
Information that must be reported on a managed care contract includes services provided, pricing, payment terms, quality standards, and other terms and conditions agreed upon by both parties.
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