This is an Internet Service Provider service agreement (contract) with a mythical
company to provide internet access and services. This contract has a liquidated damages provision in paragraph 3(E) to be paid if the Use Policy is breached. Pursuant to a liquidated damage provision, upon a party's breach, the other party will recover this amount of damages whether actual damages are more or less than the liquidated amount.
Service Agreement Provider Contract With Medicare In Phoenix
Category:
State:
Multi-State
City:
Phoenix
Control #:
US-00448BG
Format:
Word;
Rich Text
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FAQ
1-800-MEDICARE (1-800-633-4227) For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.
Income Limits Household SizeGross Monthly Income Limit Effective 02/01/2025 1 $1,735 2 $2,345 3 $2,954 4 $3,5642 more rows
AHCCCS is Arizona's State Medicaid Program. AHCCCS Members who also have Medicare are called Dual Eligible Members. Being enrolled in the same health plan for Medicare and Medicaid is called “alignment.”
Eligibility – status of pending application, determination results, Processing Period If the customer is applying for:Then the processing period is... MSP 45 calendar days from the application date BCCTP 7 calendar days from the application date Medical Assistance and is pregnant 20 calendar days from application date3 more rows
Who to Contact with Questions Email: APEPTrainingQuestions@azahcccs and include the provider's name, NPI, and a brief description of the issue. OR. Phone: Maricopa County: (602) 417-7670. Outside Maricopa County: 1-800-794-6862. Out-of-State: 1-800-523-0231.
PECOS stands for Provider, Enrollment, Chain, and Ownership System. It is the online Medicare enrollment management system that allows individuals and entities to enroll as Medicare providers or suppliers.
In order to assure that your patients can receive the care and supplies they need, physicians who care for Medicare patients should enroll or renew their enrollment in PECOS. With PECOS, providers may make the following changes to Medicare registration: Enroll as a Medicare provider or supplier.
Be age 65 or older; Be a U.S. resident; AND. Be either a U.S. citizen, OR. Be an alien who has been lawfully admitted for permanent residence and has been residing in the United States for 5 continuous years prior to the month of filing an application for Medicare.
The Provider Enrollment, Chain, and Ownership System (PECOS) is a web-based platform managed by the Centers for Medicare & Medicaid Services (CMS) that facilitates the enrollment process for Medicare providers and suppliers.
Voluntary Terminations A certified provider or supplier that wishes to terminate its agreement with Medicare must send a written notice of its intention to the CMS Survey & Operations Group (SOG) location, the state agency or the contractor within the timeframes addressed in § 489.52. Under CMS Publication (Pub.)