Washington Provider Account Application

State:
Washington
Control #:
WA-SKU-3204
Format:
PDF
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Description

Provider Account Application

Washington Provider Account Application is an online application process that allows medical providers in the state of Washington to apply for a Medical Provider Account. This account is used to submit claims for reimbursement from Washington state health plans. There are different types of Washington Provider Account Application, including those for Medicaid, Apple Health, and Medicare providers. The application process requires applicants to provide information such as business name, address, tax ID number, and other contact information. Once the application is approved, providers can access their account and submit claims electronically. This application also provides providers with access to important resources and information, such as reimbursement rates and guidelines.

How to fill out Washington Provider Account Application?

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Apple online support inlcudes software updates and utilities, technical support and product information and is available 24 hours a day, 7 days a week. Tech Exchange is your resource for product-specific information and feedback.

You can also contact support directly with questions by calling 877-255-5923. If you close your Apple Card account, information about your Apple Card account will remain in Wallet until you remove Apple Card from the Wallet app.

Employees may also file a claim form online at or by phone at 1-877-561-FILE (3453). Workers' compensation claims must be filed within one year of an injury, and within two years of being notified that an illness is work-related.

Online via our FileFast tool. By phone: 1-877-561-FILE (3453) At your doctor's office (if you complete the Report of Accident at your doctor's office, the doctor files the form for you)

General information. Contact the Washington State Department of Labor & Industries for information about agency programs and services in your language at 1-800-547-8367. Once you are on the phone, please hold a moment while we call an interpreter to help us.

Go to .Lni.wa.gov/Verify, select the option that applies to you, and search by name. To change your address online, just put in your information and make selections ingly. Update your mailing address, phone number, and email address. Repeat for each of your licenses and certificates.

More info

Here's how to apply: 1. Complete the Provider Account Application (F248-011-000). 2.- Review checklists of information needed to complete an application for various provider and supplier types. Learn how to apply for a National Provider Identifier (NPI). Complete your enrollment online using PECOS or submit a paper application. Complete this section if you are a health care provider corporation and you are discontinuing the employment arrangement of a PA(s). Blue Cross Complete Mobile App. Access your account anytime, anywhere. Potential Provider Application. Below are instructional guides that will help complete the CHAMPS application.

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Washington Provider Account Application