Example user
IN+
Home
Providers
Provider Documents
Insurance Contacts
Progress Report
Tasks
Log out
Back
Save
State
Illinois
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Indiana
Iowa
Kansas
katana
katana
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Insurance
Application Status
Inactive
Active
In Progress
Follow Up Details
Application
Call Reference Number
Next Follow Up Due
Notes
WE NEEDED GUIDANCE REGARDING THE FORM WHICH WE HAVE TO SUBMIT FOR GROUP ENROLLMENT OF OUR PROVIDER. THE REPRESENTATIVE WAS ABLE TO GIVE US DETAILED INSTRUCTIONS. WE HAVE TO GO TO THE HOMEPAGE ON THEIR WEBSITE I.E. MOLINAHEALTHCARE.COM AND SELECT THE STATE OF ILLINOIS. ON THE MIDDLE OF THE PAGE IS A TRIANGLE WITH HOW CAN I HELP YOU? WE HAVE TO CHOOSE HEALTHCARE PROFESSIONAL THEN MEDICAID PROFESSIONALS. AFTER CLICKING THE NEXT PAGE WILL APPEAR WITH GREEN TABS WHICH WILL HAVE FORMS. FROM THE FREQUENTLY USED FORMS, WE HAVE TO SELECT THE FIFTH ONE WHICH IS CONTRACTING AND PROVIDERS FORM. A LIST OF FORMS WILL APPEAR WITH GREEN HYPERLINKS. THERE WE HAVE TO CLICK THE \'\'NON PAR PROVIDER CONTRACT REQUEST FORM.\'\' IT WILL ALSO HAVE THE EMAIL ADDRESS MENTIONED ON WHICH WE HAVE TO EMAIL IT.
Back
Save