Get Ok Healthchoice Network Provider Ambulatory Surgery Center Contract 2018

Filling out the OK HealthChoice Network Provider Ambulatory Surgery Center Contract online is an essential process for providers wishing to join the network. This guide provides a clear and structured approach to help you navigate through each section of the contract with ease.

Follow the steps to successfully complete the contract online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Review the introductory section carefully to understand the purpose and parties involved in this contract, ensuring clarity on your obligations as a provider.
3. Fill out the Definitions section where key terms are explained. This ensures you understand the terminology used throughout the contract.
4. Complete the section regarding the relationship between EGID and the Ambulatory Surgery Center, including compliance standards and expectations.
5. Detail the ASC Services and Responsibilities, outlining the types of services provided and the standards required.
6. Address the EGID Services and Responsibilities section accurately, noting the obligations of EGID towards you as a provider.
7. Fill out the Compensation and Billing section, being thorough in detailing allowable fees and billing procedures.
8. Ensure you understand and complete the Utilization Review process, including Pre-Certification and Prior Authorization requests.
9. Review the Liability and Insurance components to confirm compliance with coverage requirements and ensure proper protection.
10. Finalize the Marketing, Advertising and Publicity guidelines to understand how your services will be communicated to members.
11. Address any Dispute Resolution procedures to understand how disagreements will be settled during the contract term.
12. Review the Term and Termination section, noting conditions for contract renewal or dissolution.
13. Complete the General Provisions to ensure that you acknowledge all terms within the contract are understood.
14. Fill out the Network Facility Credentialing Information and ensure that all required attachments are included.
15. Once you have completed the contract, save your changes, download the document, and print it if required.
16. Submit the completed contract and required documents to the designated EGID contact as per the instructions provided.

Begin the process of completing your OK HealthChoice Network Provider Ambulatory Surgery Center Contract online today.