Providersource.com

ProviderSource™

* Select your contracted Health plan --Select One-- First Choice Blue Cross & Blue Shield of Western New York Healthy Blue Health Plan Empire BlueCross BlueShield HealthPlus Anthem Blue Cross and Blue Shield Healthcare Solutions Simply Healthcare Detroit Wayne Mental Health Authority

Actived: 1 days ago

URL: https://www.providersource.com/Features/Status.aspx

ProviderSource™

(4 days ago) Join the 328,000 providers we have helped already. The ProviderSource™ marketplace brings you cost-effective solutions to your administrative needs including a simplified credentialing and monitoring application process and a suite of HIPAA solutions that protect your practice and your patients.

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ProviderSource™

(7 days ago) The use of your personal information by such health plans, hospitals, or other healthcare organizations is subject to a separate agreement between you and the organization(s). b. Medversant uses the ProviderSource online provider application to collect provider data for all provider data-driven processes including credentialing, enrollment

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ProviderSource™

(7 days ago) Please review the videos below to get an overview ofProviderSource™ and its various sections. Introduction of ProviderSource™

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ProviderSource™

(2 days ago) In the Release of Information section, if I don’t see the health plan for which I wish to authorize release of information, what do I do? . How does Attestation work? How do I create a digital signature? What is an eSignature? What is the difference between a digital signature and an eSignature?

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ProviderSource™

(4 days ago) Terms and Conditions of Use 1. Terms. By accessing, viewing, downloading, or otherwise using this website, you conclude a legally binding agreement as reflected by

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ProviderSource™

(Just Now) Please note that the ProviderSource™ is best viewed using latest versions of Microsoft Edge, Google Chrome or Firefox Mozilla. Browser requirements are as follows:

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ProviderSource™

(3 days ago) In an effort to reduce the time our providers spend on paperwork and speed up the credentialing process, we offer this online portal to make your life easier.

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Edit Organization

(5 days ago) Organization Physical Address: * Address 1 Address 1 Address 2 * City

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ClientPortal

(1 days ago) Forgot Password Contact_Us · User Guide· Terms of Service · . Copyright © 2000-2020 Medversant Technologies, LLC.

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ProviderSource™

(Just Now) Contact Us * Name Company Name Address 1 Address 2 City * State. Zip Code County Phone * Email * Comments/Question. Name Company Name Address 1 Address 2 City * State

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ProviderSource™

(2 days ago) Services: Cost: Application Data Entry: Fax us your paper credentialing application and we'll enter all of your information and alert you when it's complete and ready for you to log in and attest! $30 per application, per provider: Document Scan, Index & Upload: Don't have a scanner? Fax us your supporting documents (e.g., license copies, liability face sheets, etc.) and we'll scan and upload

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ProviderSource™

(6 days ago) Please enter the email address and username you used to create your account. We will use this information to retrieve your record.

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1 OVERVIEW

(9 days ago) affiliates and health plans to your organization. And on Manage Provider, a.k.a. the homepage, you will be able to add a provider to your location and manage provider applications. The following document first explains the flow using a swim-lane diagram and then explains each window using screenshots. 2 WORKFLOW. 2.1 SWIM-LANE

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AMERIGROUP* DISCLOSURE FORM FOR PROVIDER ENTITIES

(4 days ago) participation in a federal health care program, 2), where the original owner is or was a member of the current owner‘s immediate family or member of the current owner’s household at the time of the transfer of ownership? (Immediate Family is defined as a person's husband or wife; natural or

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ProviderSource™

(6 days ago) Please enter the email address you used to create your account.

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Provider User Guide

(7 days ago) 10-digit identification number is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS). DEA - Drug Enforcement Administration Registration o Quick Tip: Drug Enforcement Administration Registration number, is applicable to MD, DO, DDS, DMD, DVM, and DPM only. The DEA

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One-Time Credit Card Payment Authorization Form

(1 days ago) Identify the health care related organization(s) to which this application is being submitted in the space provided below. Attach copies of requested documents each time the application is submitted. If changes must be made to the completed application, strike out the information and write in …

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Moda Health Practice Survey

(2 days ago) Moda Health Practice Survey Please complete this short survey about your practice. The information you provide will help us to better represent your practice to Moda Health members. Robert Neal Mills, MD Medical Director I. IDENTIFYING INFORMATION Last …

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Tips

(6 days ago) - This page lists providers that have accepted your invitation and are able to be associated with this location. - Select a provider on the left then click the “>” button, to associate a provider with this location.

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Service Agreement

(4 days ago) programs or other third-party payors’ health benefits contracts (hereinafter referred to as “Plan” or “Plans”). HumanaDental may administer the provider network for such other third-party payor(s) (hereinafter “Payor” or “Payors”) issuing and/or administering the Plans. Members shall have an identification card

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Disclosure Form

(6 days ago) 1 Disclosure Form – Prov Person ver 121911 AMERIGROUP DISCLOSURE FORM FOR A PROVIDER PERSON Directions: Use this form if you are applying for network participation as a Provider Person.If the addition of the Provider Person will change the Ownership or Control structure of the Provider Entity that the Provider Person is joining (i.e., the new Provider Person will also be an owner or high

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TN DISCLOSURE FORM FOR A PROVIDER PERSON 03-09-12

(8 days ago) Revised 3/9 /12 Page 1 of 6 DISCLOSURE FORM FOR A PROVIDER PERSON Directions: Use this form if you are trying to get a TennCare/Medicaid provider ID number for a Provider Person.If the addition of the Provider Person will change the Ownership or Control structure of the Provider Entity that the Provider Person is joining (i.e, the new Provider Person will also be an owner …

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ProviderSource

(1 days ago) ProviderSource

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PARTICIPATING GENERAL DENTIST AGREEMENT THIS …

(1 days ago) Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and regulations promulgated thereunder, as amended from time to time. Dentist agrees to obtain patient’s consent, prior to using or disclosing Protected Health Information, as defined by HIPAA, to carry out

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