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This document outlines the Group Health Insurance Agreement between the Government of Guam and an insurance company, effective from October 1, 2017, to September 30, 2018. It includes general provisions, services provided, rates, premiums, enrollment details, responsibilities of both parties, dispute resolution mechanisms, and various definitions relevant to health insurance coverage. The agreement encompasses contact information, governing law, and miscellaneous provisions concerning the...
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What is ppo 1500 agreement?
The PPO 1500 Agreement is a standardized form used by healthcare providers to submit claims for reimbursement from insurance companies for services rendered to patients under a Preferred Provider Organization (PPO) plan.
Who is required to file ppo 1500 agreement?
Healthcare providers, including physicians, specialists, and facilities that provide covered services to patients enrolled in a PPO plan, are required to file the PPO 1500 Agreement.
How to fill out ppo 1500 agreement?
To fill out the PPO 1500 Agreement, providers must enter accurate patient information, detailing services rendered, diagnosis codes, procedure codes, and billing information in the designated fields of the form.
What is the purpose of ppo 1500 agreement?
The purpose of the PPO 1500 Agreement is to facilitate the billing process between healthcare providers and insurance companies, ensuring that providers receive reimbursement for their services while maintaining compliance with insurance guidelines.
What information must be reported on ppo 1500 agreement?
The PPO 1500 Agreement must report patient demographics, insurance policy numbers, provider information, dates of service, procedure codes, diagnosis codes, and the total charges for services rendered.
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