Transcription of Professional Provider Manual
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Professional Provider Manual
Professional Provider Manual Revised November 2023. Requirements Table of Contents Just click the page number link to go directly to the section you need. Introduction .. 5. Requirements .. 6. Participation requirements and responsibilities .. 7. Claims and payments Credentialing and recredentialing .. 8. Fill-in doctors .. 11. Access to care/emergencies .. 12. Member con dentiality and privacy laws .. 14. Cultural competency and language assistance .. 14. Medicare and Medicaid participation .. 15. Plan benefits State laws .. 16. Mobile providers .. 17. Network terminations .. 18. Payments .. 20. Chargebacks and lens payments when using the lab network.
provider complaints and appeals processes. Information verification. When EyeMed asks you to report or verify information through our provider website, inFocus, you must report the information timely, accurately and completely. You may be asked to supply signed confirmation. Network participation Additional networks.
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