Get Ok Health Choice Network Provider Nurse Practitioner Contract 2020-2025

This guide provides step-by-step instructions on how to complete the OK Health Choice Network Provider Nurse Practitioner Contract online. Follow these directions to ensure that your information is accurately submitted and processed.

Follow the steps to effectively complete the contract form.

1. Click ‘Get Form’ button to obtain the contract form and open it in the editing interface.
2. Begin by reviewing the recital section, which outlines the purpose and fundamentals of the contract. Make sure to understand your role as a Nurse Practitioner and the significance of this agreement.
3. Fill in the 'Definitions' section carefully, providing any required information where indicated. Ensure you understand terms that may affect your practices, such as 'Medically Necessary' and 'Network Provider'.
4. In the section regarding the 'Relationship Between EGID and the Nurse Practitioner,' clearly state your understanding of your independent contractor relationship. Acknowledge the maintenance of patient relationships.
5. Complete the 'Nurse Practitioner Services and Responsibilities' section. Detail the services you will provide, referencing the legal and necessary guidelines concerning your practice and patient care.
6. Proceed to the 'EGID Services and Responsibilities,' ensuring that you acknowledge the conditions for compensation and how EGID will support your practice as a Network Provider.
7. Navigate to the compensation section, and provide your billing information as required. Confirm that your billing aligns with EGID's requirements, including the use of correct coding.
8. Review the 'Utilization Review' section, ensuring you comprehend how you will interact with EGID’s oversight procedures. Fill in any necessary fields indicated.
9. Complete the 'Signature Page' at the end of the document. Input your name, National Provider Identifier (NPI), and Federal Tax ID Number, then sign and date.
10. After filling out all sections of the contract, review the entire document for completeness and accuracy. Save your changes, and prepare to download or print the completed form as required.
11. Finally, submit the completed contract along with any necessary attachments to the designated address provided at the end of the form.

Start the process of completing your documentation today to ensure timely participation in the OK Health Choice Network.