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Longevity Health Plan Provider Manual

WebLongevity Health Plan of Oklahoma: 1-888- 585-1611 (TTY 711) Please note membership data is subject to change. The Centers for Medicare and Medicaid Services (CMS) may …

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URL: https://planprovportal.align-360.com/EZ-NET60LON/ConfigFiles/Provider%20Manual.pdf

Longevity Health Plan

Webto $105 (every 2 years) Hearing Aids up to $1,300 (every 3 years) IL Only – 1 preventive oral exam, cleaning and x-ray every year + up to $400 for other dental services. 4 routine …

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INSURED INFORMATION

WebINSTRUCTIONS FOR FILING A CLAIM This form is designed to help you file a claim for health care services received by you. If a doctor, hospital, or other health care provider …

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EZ-NET User Guide

WebThis document provides instructions for logging in and out, site disclaimer, and accessing requests and contact information in the EZ‐NET system. EZ‐NET is a secured, web …

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Updated January 1, 2022

WebPlan Overview. The Provider Manual is customarily updated annually but may be updated more frequently as policies or regulatory requirements change. Providers can access the …

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REQUEST FOR AUTHORIZATION OF SERVICES FORM

WebREQUEST FOR AUTHORIZATION OF SERVICES FORM . Call UM at . 844-244-3659. opt 3 (Call Center Hours M-F 8a– 5p) FAX Form and Clinical to 800-489-9815

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Table of Contents Provider Manual

WebYou may request a copy of Sunrise Advantage Plan Compliance Program document by contacting Sunrise Advantage Plan Provider Services at 1-844-502-4149 (TTY 711) for …

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REQUEST FOR AUTHORIZATION OF SERVICES FORM

WebREQUEST FOR AUTHORIZATION OF SERVICES FORM . Call UM at NY: 844-896-0628 IL: 844-502-4149 opt 3 (Call Center Hours M-F 8a– 5p) FAX Form and Clinical to 800 …

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Electronic Data Interchange (EDI) Companion Guide

WebThe purpose of the AllyAlign Health (AAH) companion guide is to define (for its directly connected trading partners) the required values for submission of 837 ANSI X12 Health …

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2020 LIB Provider Manual

WebLiberty Advantage . 3 . Practitioners develop member care plans, participate in Interdisciplinary Care Team meetings, and provide routine preventive services and …

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PruittHealth Premier

WebUM/Prior Authorization Department can be reached at: Phone: 1-844-224-3659 (extension 3) Fax: 1-800-903-0271. PruittHealth Premier Provider Services Representatives can be …

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Billing Training December 2018

WebUM Department can be reached at: Phone: 1-844-896-0628 (Option 3) Fax: 800-779-6954. For help, Sunrise Advantage Provider Services Representatives can be reached at: 1 …

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