Provider Manual

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

  • › Confidentiality standards
  • › Contracts & agreements
  • › Credentialing
  • › Data exchange systems
  • › Provider office requirements

    • » Provider Availability
    • » Compliance with fraud, waste and abuse laws
    • » Requirements for treating Medicare patients
    • » Compliance with non-discrimination laws
    • » NPI numbers
    • » Online provider center accounts
    • » Provider office responsibilities
    • » Changes to staff/address/phone
  • › Patient status information
  • › Provider status
  • › Record keeping
  • › Site visits
• Performance programs
• Plans and benefits