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- AZ Mercy Care Outpatient Behavioral Health Non-Par Provider Initial Single Case Agreement Request 2016
Get AZ Mercy Care Outpatient Behavioral Health Non-Par Provider Initial Single Case Agreement Request 2016-2024
Means a request for which a provider indicates or a Contractor determines that using the standard time frame could seriously jeopardize the member's life or health or ability to attain, maintain or regain maximum function. The Contractor must make an expedited authorization decision and provide notice as expeditiously as the member's health condition requires no later than three working days following the receipt of the authorization request, with a possible extension of up to 14 days if the me.
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Modifer FAQ
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Per your contract, we need to receive claims for services you provide our members in a timely manner: New claims: File claims with a valid claim form within 150 days from the date you performed services or from the date of eligibility posting, whichever is later.
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Payer Name: Mercy Care Plan (AHCCCS)|Payer ID: 86052|Professional (CMS1500)/Institutional (UB04)[Hospitals]
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Owned by Dignity Health and Ascension Health, Mercy Care has served Medicaid members since 1985. Mercy Care provides access to health care services for families, children, seniors, and people with physical and developmental/cognitive disabilities.
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Mercy Care is a local not-for-profit managed care organization. We provide coverage for people who qualify for Arizona Health Care Cost Containment System (AHCCCS) benefits.
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