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Provider Manual 2023 Effective as of January 1, 2023, Former revision: 4/06/2022Neighborhood Health Plan of Rhode Island 20231Provider Manual Contents Section 1, Section 2 Section 3, Section 4 Section
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Who needs provider manual contents?

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Provider manual contents typically include guidelines, policies, procedures, and requirements that healthcare providers must follow to participate in a health insurance program or network.
Healthcare providers, including hospitals, clinics, and individual practitioners, who participate in a health insurance network are required to file provider manual contents.
To fill out provider manual contents, providers should carefully adhere to the outlined guidelines, include necessary documentation, and ensure all information is accurate and complete.
The purpose of provider manual contents is to ensure standardization, compliance, and quality of care among providers in a health insurance network.
Provider manual contents must report information such as clinical guidelines, billing procedures, coverage policies, and contact information for support.
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