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MEDICARE ADVANTAGE PROVIDER MANUALatriohp.com TRIO Health Plans: Last Updated 11/20/2017TABLE OF CONTENTS History of TRIO Health Plans ......................................................................................................
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What is excluded providers?
Excluded providers are individuals or entities who have been excluded from participating in federal healthcare programs.
Who is required to file excluded providers?
Healthcare providers and organizations that participate in federal healthcare programs are required to file excluded providers.
How to fill out excluded providers?
Excluded providers can be reported through the Office of Inspector General's exclusion list or through the Centers for Medicare & Medicaid Services.
What is the purpose of excluded providers?
The purpose of excluded providers is to prevent individuals or entities with a history of healthcare fraud or abuse from participating in federal healthcare programs.
What information must be reported on excluded providers?
Information such as the provider's name, date of birth, Social Security number, and reason for exclusion must be reported on excluded providers.
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