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Quality Healthcare is at the Heart Of What We Do

Provider Manual

Table of Contents
INTRODUCTION ............................................................................................................................................. 4

Welcome............................................................................................................................................ 4
About Us ........................................................................................................................................... 4
Mission .............................................................................................................................................. 4
How to Use This Reference Manual ............................................................................................. 4

KEY CONTACTS............................................................................................................................................... 5
PRODUCT SUMMARY .................................................................................................................................... 6
Enrollment............................................................................................................................................................. 7
Provider Restrictions .................................................................................................................................. 7
Provider Marketing Guidelines ................................................................................................................. 7
VERIFYING ELIGIBILITY ............................................................................................................................ 8

Member Eligibility Verification ..................................................................................................... 8
Member Identification Card