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RenewalSOONERCARE OPTOMETRIST PROVIDER AGREEMENT Based upon the following recitals, the Oklahoma Health Care Authority (HCA hereafter) and (PROVIDER hereafter) enter into this Agreement: (Print Providers

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How to fill out soonercare optometrist provider agreement

01

Step 1: Obtain the Soonercare Optometrist Provider Agreement form. This can be done by visiting the official website of Soonercare or by contacting the Soonercare office.

02

Step 2: Carefully read through the agreement form to understand the terms and conditions of becoming a Soonercare optometrist provider.

03

Step 3: Fill out the form accurately with all the required information. Make sure to provide all the necessary details such as your personal information, contact information, and qualifications.

04

Step 4: Review the completed form to ensure that there are no errors or missing information.

05

Step 5: Sign the agreement form once you have reviewed it thoroughly and are satisfied with the information provided.

06

Step 6: Submit the filled-out and signed agreement form to the Soonercare office either by mail or in person. Make sure to follow their specific submission instructions.

07

Step 7: Wait for the Soonercare office to process your application. They will review the agreement form and contact you if any further documentation or information is required.

08

Step 8: Once your application is approved, you will receive confirmation from Soonercare. You can then start providing optometry services to Soonercare beneficiaries.

Who needs soonercare optometrist provider agreement?

01

Optometrists who wish to provide their services to Soonercare beneficiaries need to fill out the Soonercare Optometrist Provider Agreement. This agreement is required for optometrists to become participating providers in the Soonercare program and ensure that they can bill and receive payment for their services from Soonercare.

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What is soonercare optometrist provider agreement?

The soonercare optometrist provider agreement is a contract between an optometrist provider and the soonercare program detailing the terms and conditions of their participation.

Who is required to file soonercare optometrist provider agreement?

Optometrist providers who wish to participate in the soonercare program are required to file the optometrist provider agreement.

How to fill out soonercare optometrist provider agreement?

The soonercare optometrist provider agreement can be filled out by the optometrist provider using the online portal provided by the soonercare program.

What is the purpose of soonercare optometrist provider agreement?

The purpose of the optometrist provider agreement is to establish the terms and conditions under which an optometrist provider will provide services to soonercare beneficiaries.

What information must be reported on soonercare optometrist provider agreement?

The optometrist provider agreement must include information such as the provider's contact details, services offered, billing procedures, and compliance with soonercare program requirements.

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