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Member Handbook 2024 1855694HOME (4663)TTY 711HomeStateHealth.com HSH25103; 10/29/2024WELCOME Thank you for choosing Home State Health as your Managed Care health plan! Home State Health is a Medicaid
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How to fill out hsh - provider reference
How to fill out hsh - provider reference
01
Start with basic information: Enter the provider's name, address, and contact number.
02
Provide the provider's Tax Identification Number (TIN) for verification.
03
Indicate the services offered by the provider in the designated section.
04
Fill out the provider's licensing and certification details, ensuring they are current.
05
Include any specialties or qualifications that are relevant.
06
Sign and date the form to certify that the information provided is accurate.
Who needs hsh - provider reference?
01
Healthcare providers seeking to establish or maintain a network relationship.
02
Insurance companies or payers requiring documentation for provider credentialing.
03
Administrative personnel managing provider information for compliance or regulatory reasons.
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What is hsh - provider reference?
HSH - Provider Reference is a document used to identify and gather information about healthcare providers participating in certain state or federal programs, ensuring compliance with regulations.
Who is required to file hsh - provider reference?
Healthcare providers who participate in state or federal health programs and are subject to reporting requirements are required to file the HSH - Provider Reference.
How to fill out hsh - provider reference?
To fill out the HSH - Provider Reference, you must provide accurate information regarding the provider's identity, qualifications, and any relevant licensing information, typically following a specified format.
What is the purpose of hsh - provider reference?
The purpose of the HSH - Provider Reference is to maintain an up-to-date registry of healthcare providers, ensuring transparency and accountability in healthcare delivery.
What information must be reported on hsh - provider reference?
Information that must be reported includes the provider's name, contact details, professional credentials, and any affiliations with healthcare organizations.
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