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TRI CARE POLICY MANUAL 6010.54M, AUGUST 1, 2002, TRI CARE OVERSEAS PROGRAM (TOP)CHAPTER 12, SECTION 11.1 MANAGED CARE SUPPORT CONTRACTOR (MSC) RESPONSIBILITIES FOR CLAIMS PROCESSING ISSUE DATE: AUTHORITY: I.
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Managed care support contractors are needed by individuals or families who require assistance with managing their healthcare needs. This can include individuals with chronic illnesses or conditions that require ongoing medical care, individuals with disabilities, or individuals seeking comprehensive healthcare coverage. Employers or organizations may also seek managed care support contractors to provide healthcare benefits to their employees or members. Overall, anyone in need of coordinated healthcare services, cost containment, and assistance navigating the healthcare system can benefit from a managed care support contractor.
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A managed care support contractor is an organization that provides administrative support services to managed care organizations, including handling enrollment, claims processing, and member services.
Entities that operate managed care organizations or utilize managed care support services are required to file managed care support contractor.
To fill out a managed care support contractor, gather necessary information about your organization, complete the required forms accurately, and ensure all supporting documents are attached before submission.
The purpose of the managed care support contractor is to streamline the administration of managed care programs, ensuring compliance with regulations and improving efficiency in service delivery.
Information that must be reported includes company details, services provided, financial data, and compliance information relevant to managed care operations.
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