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PROFESSIONAL SERVICES AGREEMENT This PROFESSIONAL SERVICES AGREEMENT (Agreement) is made and entered into this ___day of ___2024 (the Effective Date) by and between the City of Fishers, Hamilton County,
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How to fill out request-to-approve-provider-contract-humana-resolution

01
Obtain the request-to-approve-provider-contract form from the Humana website or relevant department.
02
Fill out all required information, including provider details and contract specifics.
03
Ensure that all necessary supporting documents are attached, such as identification and proof of services provided.
04
Review the form for accuracy and completeness before submission.
05
Submit the form to the designated Humana contact person or department for processing.

Who needs request-to-approve-provider-contract-humana-resolution?

01
Healthcare providers seeking to establish a contractual agreement with Humana.
02
Administrative personnel managing provider contracts and relationships with Humana.
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The request-to-approve-provider-contract-humana-resolution is a formal process by which healthcare providers seek authorization for their contracts with Humana, ensuring compliance with necessary regulations and standards.
Healthcare providers who wish to enter into or modify a contract with Humana are required to file this request.
To fill out the request, providers need to complete the designated form with accurate details regarding their practice, proposed contract terms, and submit any supporting documentation as required by Humana.
The purpose is to ensure that all provider contracts meet Humana's guidelines and regulatory requirements, promoting quality care and efficient administrative processes.
Providers must report their practice information, contract specifics, provider credentials, and any relevant documentation that supports the contract request.
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