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Access and Availability PCP Survey – Kentucky: Cabinet for Health …

Table 2: Number of Providers Surveyed by Provider Type, Health Plan, and Call
Type ……………….. 7 …. Blue Shield Medicaid, CoventryCares of Kentucky,
Humana-CareSource, Passport Health … database that was used for data


Once you've received your Humana ID card, you can … Find participating
providers with the Physician Finder Locator (provider directory). … PCP

MA Payment Guide for Out of Network Payments – CMS

Apr 15, 2015 … Service-Payment/PCPricer/index.html They are generally updated quarterly. …
database/overview-and-quick-search.aspx , then clicking on “Medicare …..
individual physicians can bill under more than one tax ID number (TIN).

Medical Care Consortium (Humana), H4510 Chronic or Disabling …

Jan 1, 2013 … Medical Care Consortium, Inc. (MCCI) partners with Humana Health Plan, Inc.
and is a provider … hospitalized, experiences a change in health status, number
of medications, or utilization of … physician (PCP) for review and input. … and
care management database, to which all members of the medical …

Benefit Guide – Benefit Options – ….. can present their medical ID card and Medicare members
can present their Medicare ….. (Example: if you enroll in the Humana Part ….. 4 All
Mayo Clinic Primary Care Physicians (PCP) are contracted with Cigna …

this ll^day ofJune 2015 – State of Michigan

Humana ofthe external review request and asked for the information it used to
make its final adverse … require a primary care physician referral if a referral was
not obtained. Services provided … Humana Physician finder page of the website.
… participation status, only from us, by either calling the telephone number on

Quick Provider Reference Guide – DMAS Portal

HealthKeepers, Humana and Virginia Premier, have contracted to provide
Medicare Part …. A trained MAXIMUS representative can look up the caller's
doctors or other …. Beacon Health Strategies – Claims payer ID is43324 …. PCP.
Anthem HealthKeepers MMP Members do not need any referral for the following

2016 Benefits Handbook – Miami-Dade County

Feb 1, 2016 … MetLife DHMO …. Dental – Access co-
pay schedules, provider lookup and ID card download. ….. Employees are
required to select a PCP for each person to be enrolled. Referrals from …

What Are My Medi-Cal Choices? – California Department of Health …

… call your County Mental Health. Department. The phone number is on the
insert that came with this …. Provider (PCP). This doctor gives you most of your

Commonwealth Coordinated Care – DMAS Portal

Humana. • Virginia Premier. • CCC is an enhancement over regular. Medicare/
Medicaid … process. One ID card for all care ….. PCP. – MMP Care Manager. –
Specialty practitioners. – LTSS providers … Use our Precertification Lookup tool

View Report (PDF, 43 pages) – Government Accountability Office

Jun 18, 2014 … UnitedHealth's determination of the number of staff needed to man its …..
contractor, Humana Military Healthcare Services, after its bid protest ….. Provider
database: The different versions of transition guidance and … assigned a primary
care manager (generally, a primary care physician, internal medicine.

Department of Veterans Affairs Office of Inspector General …

Aug 31, 2012 … PCP primary care provider. PET. Positron Emission Tomography ….. 4 Based on
the number of unique patients seen as defined by VHA ….. 18 The American
College of Radiology's Breast Imaging Reporting and Database System is a
quality ….. sources of care such as Project Hero/Humana, United States …

Hidden Health Crisis Costing America Billions – American Academy …

Primary Care Physician Education …. An increasing number of observation and
experimental studies suggests …. Innovative health plans such as Humana* have
taken a new approach in ….. CDC WONDER Online Database, released 2015.

Enrollment Guide – City of Memphis

Medicare includes a number of “Parts” and plans that cover different benefits. …..
Clicking the Help tab takes you to our searchable database of ….. Dental,
Humana, and MetLife. …. Members usually must select a primary care physician (

Community Health Improvement Plan CHIP – Santa Rosa County …

Aug 1, 2014 … Humana. Interfaith Ministries/Good Samaritan Clinic. Lifeguard …. treatment that
should be provided by a primary care physician may … No central database …..
Objective 2: Increase by 100% (+3) the number of tobacco-free …

classification system – CDC

Dec 10, 1999 … quarter-year of diagnosis, and number of deaths, by quarter-year of death,
among ….. (PCP) prophylaxis for children (19,77–88 ) and for use of …. HIV/AIDS
surveillance database only after they have had HIV infection …

Ohio Performance Profile – Office of Health Transformation

Feb 4, 2015 … State all-payer claims database (APCD) in place, 20135. No. 18 States ….. rates
or the number of hospital beds per capita, it is not clear that a lower or higher
number is ….. There is less than 1 primary care physician per 3500 population. …
Humana. 42,773. Vanguard Health Systems. 22,149. Aultcare.

Patient Self-Management Support Programs – Agency for Healthcare …

Services Center, Humana ….. The current enthusiasm for self-management
support is based on a number of arguments, but …. Current database and
information technology constraints in many primary care ….. But the primary care

Presentation (Day One & Two) – Mass.Gov

Oct 17, 2016 … Number of state residents at each household income level, 2015. Source:
Current … Source: Massachusetts All-payer claims database. Lowest income ….
Using HCCI data based supplied by Aetna, Humana, and UnitedHealth. (27.6%
of ….. Differentiating Premiums Based on Patient's Choice of PCP Group.

April –

Apr 11, 2014 … Whitley, AHTD; Bob Walt, Humana; Treg Long, ACS; Mark Chambers,. Compsych
… Advantage solution that has helped a large number of state health plans and
retirement ….. •Using 2013 incurred claims from the ARK Claim Database, we
calculated the ME medical …. Office Visit – Primary Care (PCP). $35.

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