Provider Manual

• Get Started Guide
• Authorizations
• Billing & payment
• Provider responsibilities and standards

  • › Confidentiality standards
  • › Contracts & agreements
  • › Credentialing
  • › Data exchange systems

    • » EDI 5010
    • » EDI setup
    • » Setting up electronic funds transfer (EFT)
    • » HL7 health data
  • › Provider office requirements
  • › Patient status information
  • › Provider status
  • › Record keeping
  • › Site visits
• Performance programs
• Plans and benefits