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Current Status: Active Origination: Effective: Last Approved: Last Revised: Next Review: Owner: Policy Area: References:PolicyMap ID: 7801903 08/2017 04/2020 04/2020 04/2020 04/2021 June White: Provider

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How to fill out mi health link non-contracted

01

Visit the Mi Health Link website or call the Mi Health Link customer service.

02

Provide your personal information including name, address, date of birth, and social security number.

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Choose a primary care physician from the list of non-contracted providers.

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Submit any required documentation such as proof of income or residency.

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Review and sign the Mi Health Link non-contracted provider agreement.

Who needs mi health link non-contracted?

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Individuals who are eligible for Mi Health Link but prefer to see a non-contracted provider for their primary care.

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What is mi health link non-contracted?

Mi Health Link non-contracted refers to healthcare providers who do not have a contractual agreement with Mi Health Link.

Who is required to file mi health link non-contracted?

Healthcare providers who do not have a contractual agreement with Mi Health Link are required to file as non-contracted providers.

How to fill out mi health link non-contracted?

Mi Health Link non-contracted providers can fill out the necessary forms provided by Mi Health Link to report their services.

What is the purpose of mi health link non-contracted?

The purpose of Mi Health Link non-contracted is to ensure that all healthcare providers who are not contracted with Mi Health Link are still able to provide services to patients.

What information must be reported on mi health link non-contracted?

Mi Health Link non-contracted providers must report details of the services provided, including the dates, procedures, and charges.

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