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Fax Numbers. Utilization Management (Submitting an OTR)866-694-3649 Quality Management/Incident Reports 866-694-3649 Complaints 866-694-3649 Credentialing 866-694-3735 Clinical Liaison 954-294-8806. State Region Provider Representatives. Bradley Lowe- Regions: 1,2,3,4 &7 727-200-3232 [email protected] Lisa Blackstock- Regions: 5,6,7 &8 727 ...

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The amount a child can make depends on whether you're claiming him as a qualifying child or a qualifying relative. The qualifying child requirements are less stringent than those f...

1-866-796-0542 for assistance with the following services: Answer questions regarding claim status Provider education Network Participation ...If you have questions regarding the information contained in this update, please feel free to contact our Provider Service Center at (866) 796-0542. If you need your assigned Provider Engagement Specialist contact information, please email us at: [email protected] PROVIDERS: Please call the Customer Services at 1-866-796-0542 for a copy of any Forms or Attachments listed below. 2.2 Maternity Services. 2.3.2 Notification of Pregnancy (NOP) 12.7 General and Informed Consent to Treatment. Provider Manual Form 3.7.1 General Consent to Treatment.1870 W. Rio Salado Parkway Suite 2A Phone: 1-866-796-0542 . ambetter.azcompletehealth.com . Department . Phone Fax/Web Address ; Provider …Wheelchairs and Accessories : The purpose of this policy is to define coverage criteria for options and accessories for manual and powered wheelchairs

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1-866-796-0542. Ambetter.AZCompleteHealth.com. Ambetter from Arizona Compete Health Website. Provider Billing Guide. Providers are encouraged to review this document often, as updates frequently occur. Provider Services . Contact the Ambetter from Arizona Complete Health's .1-866-796-0542 : Effective 10/1/18* azcompletehealth.com : PROVIDER DISPUTES : AzCH-Complete Care Plan Provider Disputes . 1870 W. Rio Salado Parkway, Ste. 2A Tempe, AZ 85281 . STATE FAIR HEARINGS . State Fair Hearings . 1870 W. Rio Salado Parkway, Ste. 2A Tempe, AZ 85281 . REMINDER: Our name is changing! Starting

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Nurse Advice Line: 1-866-534-5963; Provider Customer Service: 1-866-796-0542. Are you or someone you know experiencing a behavioral health crisis? Call the statewide crisis line. It is available 24 hours a day, 7 days a week. Crisis services are available to any Arizona resident, even if you do not have health insurance coverage.AZ Crisis Line: 1-866-534-5963 TTY/TDY: 711 Provider Customer Service: 1-866-796-0542. CONTACT. 520-770-1541. [email protected]. 2600 N Wyatt Drive Tucson, AZ 85712.If you have questions regarding the information contained in this update please contact our Provider Customer Service Center at (866) 796-0542 or your Provider Engagement Specialist. If you need contact information for your assigned Provider Engagement, please email [email protected]. Our Provider Call Center at 1-866-796-0542. 3. Visit the Change Healthcare Website Care1st providers and staff: If you have questions, please contact: 1. Network Management at 1-866-560-4042 (Options in order: 5, 7) or email [email protected]. 2. Visit the Change Healthcare Website.. Care1st …1-866-796-0542 www.Azcompletehealth.com New Modifier Requirements Habilitative and rehabilitative benefits are considered Essential Health Benefits (EHBs) under the Affordable Care Act (ACA). Habilitative services help a person learn, keep, or improve skills and functioning for daily living. While rehabilitativeIf you have questions regarding the information contained in this update please feel free to contact our Provider Customer Service center 866-796-0542. If you need your assigned Provider Engagement Specialist contact information, please email us at [email protected] .To learn more about the Energy Assessment and eligibility, please review the full program terms & conditions, call (866) 796-0512 or email us. Get a home energy assessment from a qualified contractor and receive a rebate. Learn how to save money with better energy efficiency in your home.The CMS 1500 claim form is used to bill for most non-facility services, including professional services, transportation, and durable medical equipment. Ambulatory surgical centers and independent laboratories also must bill for services using the CMS 1500 claim form. FQHC services may also be billed on a CMS 1500 claim form.

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