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Provider Manual - optumpnw.com

Optum Care Network Provider Manual 2021 1 Table of Contents Welcome Letter .. 3 Provider Manual Overview .. 4 Delegation Defined .. 4 Contact Information .. 5 Practice Engagement .. 6 Summary .. 6 Practice Advocate Responsibilities .. 6 Credentialing .. 6 Providers Joining Your Practice .. 7 Types of Providers Credentialed .. 7 Facilities Adding Location(s) .. 7 Types of Facilities Credentialed .. 7 Sub-Delegation of Credentialing .. 8 Recredentialing .. 8 Corrective Action .. 8 Provider /Facility Rights.

Provider Manual Overview This provider manual is an extension of your participation agreement. It includes important information for providers, facilities and practice staff regarding policies, procedures, claims submissions and adjudication requirements, and guidelines used to administer plans. This provider manual replaces and supersedes all

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