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SOONER CARE 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

How to fill out soonercare optometrist provider agreement
01
To fill out the soonercare optometrist provider agreement, follow these steps:
02
Download the provider agreement form from the official soonercare website.
03
Fill in your personal information, such as your name, address, and contact details, in the appropriate sections of the form.
04
Provide your professional license number and any other required credentials or certifications.
05
Indicate the type of services you will be providing as an optometrist under the soonercare program.
06
Review and agree to comply with the terms and conditions outlined in the provider agreement.
07
Sign and date the form.
08
Submit the completed provider agreement along with any supporting documents to the soonercare office.
09
Wait for the office to review and process your application. You will be notified of the status of your provider agreement.
Who needs soonercare optometrist provider agreement?
01
Optometrists who wish to provide services under the soonercare program in Oklahoma need to complete and submit the soonercare optometrist provider agreement. This agreement is necessary to participate as a provider in the soonercare program and receive reimbursement for covered services. It is required for both new providers and those who are already enrolled in the soonercare program but want to add optometry services to their offering.
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What is soonercare optometrist provider agreement?
Soonercare optometrist provider agreement is a contract between an optometrist and the soonercare program that outlines the terms of providing services to soonercare beneficiaries.
Who is required to file soonercare optometrist provider agreement?
Optometrists who wish to provide services to soonercare beneficiaries are required to file the soonercare optometrist provider agreement.
How to fill out soonercare optometrist provider agreement?
The soonercare optometrist provider agreement can be filled out online on the soonercare website or through the mail by requesting a paper form.
What is the purpose of soonercare optometrist provider agreement?
The purpose of the soonercare optometrist provider agreement is to ensure that optometrists understand and agree to comply with the rules and regulations of the soonercare program while providing services.
What information must be reported on soonercare optometrist provider agreement?
The soonercare optometrist provider agreement typically requires information such as provider details, services offered, billing information, and agreement to comply with soonercare rules.
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