Get the free AzAHP Facility Org Data Form - Magellan Complete Care of Arizona
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Credentialing Alliance
ORGANIZATIONAL DATA FORM
PLEASE COMPLETE THIS FORM IN ITS ENTIRETY INCLUDING ATTACHMENTS SO THAT WE MAY PROCESS YOUR REQUEST. New
providers receive written confirmation of their
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How to fill out azahp facility org data
How to fill out azahp facility org data
01
To fill out AZAHP facility org data, follow these steps:
02
Access the AZAHP facility org data form
03
Provide the facility name and contact information
04
Enter the address and location details of the facility
05
Specify the type of facility and its services
06
Include information about the facility's staff, including their qualifications
07
Provide details about the facility's equipment and resources
08
Indicate the facility's hours of operation and appointment procedures
09
Include any additional relevant information about the facility
10
Review the filled-out form for accuracy
11
Submit the form to complete the process
Who needs azahp facility org data?
01
AZAHP facility org data is needed by healthcare organizations, insurance companies, and regulatory bodies.
02
Healthcare organizations may use this data for referrals, collaborations, or maintaining accurate directories.
03
Insurance companies require this data to ensure accurate network listings.
04
Regulatory bodies may use this information for compliance and monitoring purposes.
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What is azahp facility org data?
Azahp facility org data is the information about healthcare provider facilities that participate in the Arizona Healthcare Provider Network.
Who is required to file azahp facility org data?
All healthcare provider facilities participating in the Arizona Healthcare Provider Network are required to file azahp facility org data.
How to fill out azahp facility org data?
Azahp facility org data can be filled out online through the Arizona Healthcare Provider Network portal.
What is the purpose of azahp facility org data?
The purpose of azahp facility org data is to maintain an updated database of healthcare provider facilities in Arizona and ensure accurate information for network participants.
What information must be reported on azahp facility org data?
Information such as facility name, address, contact information, services provided, and participation status in the Arizona Healthcare Provider Network must be reported on azahp facility org data.
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