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Louisiana Medicaid Management Information System (LM MIS) Provider Enrollment Portal Application User Manual For MCO Facilitate Created: 07/14/2021 Date Updated: 6/16/2022 Prepared By Technical Communications

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How to fill out provider enrollment portal application

01

Access the provider enrollment portal website

02

Create an account or login with existing credentials

03

Enter all required personal and professional information

04

Upload any necessary documents or credentials

05

Review the information entered and submit the application

Who needs provider enrollment portal application?

01

Healthcare professionals and organizations who wish to become enrolled providers with insurance companies, government healthcare programs, or other healthcare entities.

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What is provider enrollment portal application?

Provider enrollment portal application is an online platform used for healthcare providers to enroll in various insurance plans and programs.

Who is required to file provider enrollment portal application?

Healthcare providers such as physicians, hospitals, and clinics are required to file provider enrollment portal application.

How to fill out provider enrollment portal application?

To fill out provider enrollment portal application, healthcare providers need to create an account, enter their information, provide documentation, and submit the application online.

What is the purpose of provider enrollment portal application?

The purpose of provider enrollment portal application is to streamline the enrollment process for healthcare providers and ensure they are eligible to provide services to patients covered by insurance plans.

What information must be reported on provider enrollment portal application?

Information such as provider's credentials, contact information, tax ID number, billing practices, and licensure status must be reported on provider enrollment portal application.

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