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Office Management and Standards

Office Management
Contact Us
Call the Priority Health Provider Helpline if you have questions.
We're here to help your office operate as effectively as possible. This section links you to the information you need to create and maintain a participating relationship with Priority Health.

General Office Setup and Standards
  • Responsibilities of office and staff
  • Compliance with fraud & abuse prevention
  • Requirements for treating Medicare patients
  • Accessibility and availability standards (location, hours)
  • Changes to contact information, staff, or online accounts
  • Electronic Data Interchange (EDI) setup
  • Requesting and Using NPI Numbers
  • Accessing and using online Provider Center accounts on this website

Credentialing and Recredentialing

Contracts

Provider Status
  • Locum tenens
  • Opening or closing to new members
  • Moving a practice and mass transfer of members
  • Closing a practice and mass transfer of members
  • Sanction and suspension

Patient Status
  • Treating yourself and your family
  • Transferring patients
  • Discharging patients
  • Extension of care

Record Keeping

Confidentiality

Site Visit Review Standards


 
Last modified 07/27/09