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  • Ok Health Choice Network Provider Independent Diagnostic Testing Facility Contract 2020

Get Ok Health Choice Network Provider Independent Diagnostic Testing Facility Contract 2020-2025

Network Provider Independent Diagnostic Testing Facility ContractUpdated 09/22/2020HCIDTFv2.4TABLE OF CONTENTS I.RECITALS....1II.DEFINITIONS..1III.RELATIONSHIP BETWEEN EGID AND THE IDTF.... 2IV.IDTF.

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How to fill out the OK Health Choice Network Provider Independent Diagnostic Testing Facility Contract online

This guide provides comprehensive, step-by-step instructions for users on how to effectively complete the OK Health Choice Network Provider Independent Diagnostic Testing Facility Contract online. Users will be walked through each section of the form to ensure clarity and ease of use.

Follow the steps to successfully complete the contract form.

  1. Click ‘Get Form’ button to access and open the OK Health Choice Network Provider Contract document online.
  2. Begin by reading the 'Recitals' section, which outlines the agreement between the EGID and the Independent Diagnostic Testing Facility (IDTF). Ensure you understand the obligations.
  3. Proceed to the 'Definitions' section, where key terms are defined. Familiarize yourself with terms such as 'Allowable Fee' and 'Credentialing Plan' as they are essential for filling the form accurately.
  4. Continue to the 'Relationship Between EGID and the IDTF' section to understand the nature of the partnership. Note any responsibilities that are critical for your compliance.
  5. Fill out the 'IDTF Services and Responsibilities' section. Provide details on the services offered by your facility, ensuring you meet the quality and eligibility standards mentioned.
  6. In the 'EGID Services and Responsibilities' section, outline what services and compensation are agreed upon. Ensure accuracy to avoid future discrepancies.
  7. Complete the section on 'Compensation and Billing' by clearly stating the fees and billing procedures you intend to follow. Correctly apply procedural coding as referenced.
  8. Review the 'Liability and Insurance' section to confirm that you meet the insurance requirements. Securing the appropriate coverages is critical for compliance.
  9. Familiarize yourself with marketing requirements in the 'Marketing, Advertising and Publicity' section to understand how your facility will be presented to members.
  10. In the 'Dispute Resolution' section, take note of the procedures in place should any conflicts arise, ensuring you understand your dispute resolution rights.
  11. Finish with the 'General Provisions' section. Pay attention to any clauses that might impact your facility, particularly those concerning amendments and legal compliance.
  12. Once all sections are filled out, review the information for accuracy. Ensure that all details, including addresses and insurance information, are correct.
  13. Save your changes, and once you are satisfied, download or print the completed contract for your records. You may also share it with necessary parties as outlined.

Start filling out the OK Health Choice Network Provider Independent Diagnostic Testing Facility Contract online today!

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An Independent Diagnostic Testing Facility (IDTF) is an entity independent of a hospital or physician's office in which diagnostic tests are performed.

ACKNOWLEDGEMENTS. The California Highway Patrol (CHP) would like to acknowledge and thank the following individuals for their commitment to the Impaired Driving Task Force (IDTF) over the last three years.

Definition. An IDTF is a facility independent of both an attending or consulting physician's office and of a hospital. However, IDTF general coverage and payment policy rules apply when an IDTF supplies diagnostic procedures in a physician's office (see 42 CFR 410.33(a)(1)).

Portable/Mobile Facility Mobile IDTFs travel and perform diagnostic tests at various locations; therefore, they do not have a single practice location. The mobile IDTF is required to list their geographic service areas on their Medicare enrollment application. Each vehicle must be separately enrolled into Medicare.

If you aren't sure what an Independent Diagnostic Testing Facility (IDTF) is, here are a few examples: Sleep Labs, EEG Providers (who are not also a physician providing this service in their office), Laboratories including drug testing providers, and cardiac event monitoring companies.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232