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COUNTY OF LOS ANGELES Department of Human Resources Occupational Health Programs Phone: 2134337201 | Email: ohp@hr.lacounty.govPREEMPLOYMENT POSTOFFER (PEPO) PROTOCOL SHEETName: ___ Last 4 SSN: ___
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A contracted clinic is a healthcare facility that has an agreement with an insurance company or another payer to provide services to patients covered under that plan.
Healthcare providers and organizations that have agreements with insurers to deliver specific services to patients are required to file contracted clinic.
To fill out a contracted clinic form, providers should provide accurate information regarding their services, billing codes, and patient demographics, ensuring adherence to the guidelines set by the payer.
The purpose of a contracted clinic is to facilitate a structured agreement between healthcare providers and payers to streamline service delivery and reimbursement.
Information such as provider details, service codes, patient information, billing amounts, and adherence to contractual obligations must be reported on contracted clinic.
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