Nebraska Application Service Provider Agreement

State:
Multi-State
Control #:
US-CP1027-AM
Format:
Word; 
Rich Text
Instant download

Description

This sample form, a detailed Application Service Provider Agreement document, is for use in the computer, internet and/or software industries. Adapt to fit your circumstances. Available in Word format.
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FAQ

Hear this out loud PauseNebraska's Medicaid managed care program, Heritage Health , combines Nebraska Medicaid's physical health, behavioral health, and pharmacy programs into a single comprehensive and coordinated program for the state's Medicaid and Children's Health Insurance Program (CHIP) enrollees.

You can verify Medicaid coverage four ways: Call the Nebraska Medicaid eligibility system (NMES) line (instructions ). Work with your electronic data interchange (EDI) clearinghouse to set up electronic Health Care Eligibility Benefit Inquiry (ASC X12N 270/271) Access client eligibility online.

We can be reached at 844- 374-5022 or nebraskamedicaidpse@maximus.com. Each enrollment can have a single NPI associated with it.

Medicaid Eligibility Customer Service Center Omaha Phone Number. (402) 595-1178. TTY Number. (402) 471-7256 ? Fax Number. (402) 742-2351.

Phone lines are open from a.m. to p.m. Monday through Friday. (855) 632-7633. In Lincoln: (402) 473-7000. In Omaha: (402) 595-1178.

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Nebraska Application Service Provider Agreement