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2019 HMO Provider Manual
For Contracted Institutional Providers
Kaiser Permanent Southern CaliforniaTable of Contents
SECTION I: HOW THIS MANUAL IS ORGANIZED ..........................................................7
1.1
1.2Your
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How to fill out for contracted institutional providers
How to fill out for contracted institutional providers
01
To fill out for contracted institutional providers, follow these steps:
02
Start by gathering all the necessary information such as the provider's contact details, registration number, and any relevant documents.
03
Begin the form by entering the provider's name and address in the designated fields.
04
Proceed with providing the registration number and any other identification information as requested.
05
Fill in the specific details of the services offered by the institutional provider.
06
If applicable, provide information about any partnerships or affiliations with other institutions.
07
Continue by filling out any financial or billing-related information as required.
08
Ensure all the provided information is accurate and up-to-date.
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Double-check the completed form for any errors or missing information.
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Once you have verified the form, submit it through the designated submission channel.
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Keep a copy of the filled-out form for your records.
Who needs for contracted institutional providers?
01
Contracted institutional providers are needed by various organizations and entities, including:
02
- Insurance companies that have established partnerships with specific healthcare institutions to offer their policyholders access to medical services.
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- Government healthcare programs that require contracted providers to deliver healthcare services to eligible individuals.
04
- Large corporations and businesses that provide healthcare benefits to their employees through contracted providers.
05
- Academic institutions that partner with healthcare facilities to provide practical training opportunities for students.
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- Non-profit organizations that collaborate with institutional providers to deliver specialized healthcare services to underserved communities.
07
These are just a few examples, but contracted institutional providers can be needed by any organization or entity seeking to ensure access to quality healthcare services for their target population.
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What is for contracted institutional providers?
Contracted institutional providers refers to institutions that have agreements with insurance companies or government healthcare programs to provide services to insured members or beneficiaries. These providers typically have negotiated rates and terms for services.
Who is required to file for contracted institutional providers?
Contracted institutional providers are required to file their claims and services provided to insurance companies or government healthcare programs for reimbursement purposes.
How to fill out for contracted institutional providers?
Contracted institutional providers need to fill out claim forms with accurate and detailed information about the services provided, patient information, and billing codes.
What is the purpose of for contracted institutional providers?
The purpose of filing for contracted institutional providers is to receive reimbursement for the services provided to insured members or beneficiaries.
What information must be reported on for contracted institutional providers?
Contracted institutional providers must report information such as services provided, patient demographics, billing codes, and any supporting documentation required for reimbursement purposes.
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