Get the free HealthChoice Network Facility Contract

Este contrato de instalación de red es un acuerdo entre la División de Seguro de Grupo de Empleados (EGID) del estado de Oklahoma y una instalación de red, con el fin de proporcionar servicios

How to fill out healthchoice network facility contract

How to fill out HealthChoice Network Facility Contract

1. Obtain the HealthChoice Network Facility Contract form from the official website or your local HealthChoice Office.
2. Read the instructions thoroughly to understand the specific requirements.
3. Fill in the facility's legal name and contact information in the appropriate sections.
4. Provide details about the services your facility offers, including specialties and hours of operation.
5. Include the facility's National Provider Identifier (NPI) number and Medicare/Medicaid information if applicable.
6. Specify the service delivery area and the populations served by the facility.
7. Attach any required supporting documentation, such as licenses or certifications.
8. Review the completed contract for accuracy and completeness.
9. Sign and date the contract, and ensure all necessary signatures are included.
10. Submit the completed contract to the designated HealthChoice Network office as instructed.

Who needs HealthChoice Network Facility Contract?

1. Health care facilities that wish to join the HealthChoice Network and receive reimbursement for services provided to HealthChoice participants.
2. Facility administrators and managers looking to expand their reach and secure partnerships with HealthChoice.

People Also Ask about

Does HealthChoice cover mental health?

Medical and dental claims, eligibility, benefits and certifications. Providers can submit claims electronically through acceptable clearinghouses as identified by the medical and dental claims administrator using payer ID 71064.

What type of insurance is HealthChoice Oklahoma?

The answer to the question highlighted in this heading is definitely 'Yes! '. Health Choice insurance policies mostly cover rehab services for mental health treatment. They serve as a powerful support for patients who need urgent or planned mental health screenings, therapy plan development, and medical guidance.

For pdfFiller’s FAQs

What is HealthChoice Network Facility Contract?

The HealthChoice Network Facility Contract is a formal agreement between healthcare providers and the HealthChoice Network, outlining the terms of service, responsibilities, and payment arrangements for healthcare services provided to members.

Who is required to file HealthChoice Network Facility Contract?

Healthcare facilities that wish to participate in the HealthChoice Network and provide services to its members are required to file the HealthChoice Network Facility Contract.

How to fill out HealthChoice Network Facility Contract?

To fill out the HealthChoice Network Facility Contract, providers should carefully read the instructions, provide accurate information about their facility, services offered, and agree to the terms outlined in the contract before submitting it to the HealthChoice Network.

What is the purpose of HealthChoice Network Facility Contract?

The purpose of the HealthChoice Network Facility Contract is to establish a clear and binding agreement that facilitates coordinated care, outlines reimbursement guidelines, and ensures compliance with regulatory requirements for healthcare services provided to members.

What information must be reported on HealthChoice Network Facility Contract?

The HealthChoice Network Facility Contract typically requires information such as facility name, address, types of services provided, tax identification number, contact information, and signatures of authorized representatives.