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Provider Manuals

Commercial Provider Manual

Medicare Provider Manual

  • Section 1: Forward
  • Section 2: Contact Information
  • Section 3: Physician Responsibilities
  • Section 4: Members’ Rights and Responsibilities
  • Section 5: Compliance Program
  • Section 6: Product Outline
  • Section 7: Service Area
  • Section 8: Health Alliance Medicare Staff
  • Section 9: Quality Management
  • Section 10: Claims Submission
  • Section 11: Medical Management
  • Section 12: Pharmacy Benefits
  • Section 13: Appeals Process
  • Section 14: Grievance Procedures
  • Section 15: Advance Directives
  • Section 16: Provider Addition/Change Form
  • Section 17: Midlevel Provider Data Form
  • YourHealthAlliance.org Provider and Office Personnel Guide
  • eviCore Resources