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Behavioral Health Institutional Provider Re credentialing Application (For UP Claim Submission) Only psychiatric PHP and IOP facilities are required to attest to the appropriate corresponding program
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How to fill out horizon behavioral health
How to fill out horizon behavioral health
01
To fill out Horizon Behavioral Health, follow these steps:
02
Obtain the Horizon Behavioral Health form from your healthcare provider or download it from their website.
03
Read the instructions provided on the form carefully to ensure you understand the requirements.
04
Start by filling in your personal information, such as your name, date of birth, and contact details.
05
Provide your insurance information, including the policy number and any relevant group numbers.
06
Answer the questionnaire or provide detailed information regarding your mental health history, symptoms, and any previous treatment you have received.
07
If applicable, provide information about your primary care physician or any other healthcare professionals involved in your care.
08
Review the completed form to make sure all the required fields are filled in accurately.
09
Sign and date the form.
10
Make a copy of the completed form for your records, if necessary, and submit the original to Horizon Behavioral Health according to the given instructions.
11
Follow up with your healthcare provider or Horizon Behavioral Health if you have any questions or concerns regarding the form.
Who needs horizon behavioral health?
01
Horizon Behavioral Health is typically needed by individuals who are experiencing mental health issues or seeking mental health services.
02
This may include individuals with conditions such as depression, anxiety, bipolar disorder, schizophrenia, or substance abuse problems.
03
Anyone who requires professional assistance or support for their mental well-being can benefit from accessing Horizon Behavioral Health services.
04
It is important to consult with a healthcare professional to determine if Horizon Behavioral Health is the appropriate resource for your specific needs.
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What is horizon behavioral health?
Horizon Behavioral Health is a managed care organization that provides mental health and substance abuse services.
Who is required to file horizon behavioral health?
Healthcare providers and facilities that are contracted with Horizon Behavioral Health are required to file.
How to fill out horizon behavioral health?
Providers must submit claims and authorization requests electronically through the Horizon Behavioral Health portal.
What is the purpose of horizon behavioral health?
The purpose of Horizon Behavioral Health is to ensure members have access to quality behavioral health services.
What information must be reported on horizon behavioral health?
Providers must report member demographics, diagnosis codes, treatment plans, and billing information.
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