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UCA 2005SC Uniform Managed Care Provider Credentialing Application I. PERSONAL INFORMATION Solo Practice Group PracticeName: LastFirstM. I. SuffixDegreeMaiden and/or other name List W9 name if different
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How to fill out sc uniform managed care
How to fill out sc uniform managed care
01
Obtain a copy of the SC Uniform Managed Care form.
02
Carefully read the instructions provided with the form.
03
Fill in your personal information, such as your name, address, and contact details.
04
Provide details about your current healthcare insurance coverage, if applicable.
05
Fill out the section regarding your primary care physician, including their name and contact information.
06
Provide information about any specific healthcare needs or conditions you may have.
07
Indicate your preferred pharmacy, if applicable.
08
Sign and date the form.
09
Review your completed form to ensure all required information is provided.
10
Submit the filled-out form to the appropriate entity as directed in the instructions.
Who needs sc uniform managed care?
01
Any individual who wishes to enroll in the SC Uniform Managed Care program and receive managed healthcare services in South Carolina.
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What is sc uniform managed care?
SC uniform managed care is a program that provides managed care services to the Medicaid population in South Carolina.
Who is required to file sc uniform managed care?
Healthcare providers who participate in the program are required to file SC uniform managed care.
How to fill out sc uniform managed care?
Providers can fill out SC uniform managed care online through the official website or by submitting the required forms to the designated authority.
What is the purpose of sc uniform managed care?
The purpose of SC uniform managed care is to improve the quality of care for Medicaid beneficiaries and to control costs.
What information must be reported on sc uniform managed care?
Providers must report patient demographics, services provided, billing information, and other relevant data on SC uniform managed care.
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