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Administrative Provider Manual for Medicaid including Children s Special Health Care Services (CS HCS), Healthy Michigan Plan (HMP) & Child Revised: 11/17/14-Page 1 of 54 HAP Midwest Health Plan Provider
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Who needs administrative provider manual:
01
Healthcare providers or medical professionals who are part of an administrative network or system.
02
Administrative staff or personnel responsible for managing healthcare services and providers within an organization.
03
Insurance companies or managed care organizations that require detailed information and documentation from providers for reimbursement or credentialing purposes.
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What is administrative provider manual?
The administrative provider manual is a document that outlines policies, procedures, and guidelines for providers who work with a particular organization or insurance company.
Who is required to file administrative provider manual?
Providers who work with a particular organization or insurance company are required to file the administrative provider manual.
How to fill out administrative provider manual?
The administrative provider manual can be filled out by following the guidelines and instructions provided by the organization or insurance company.
What is the purpose of administrative provider manual?
The purpose of the administrative provider manual is to ensure that providers understand and adhere to the policies and procedures of the organization or insurance company.
What information must be reported on administrative provider manual?
The administrative provider manual must include information on billing procedures, coding guidelines, authorization requirements, and any other relevant policies.
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