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Provider Maintenance Form. The Provider Maintenance Form (PMF) is to be used by California physicians, practitioners, professionals and ancillary providers to request changes to their practice profiles with Anthem BlueCross.
What is a PMF form for Anthem?
Provider Maintenance Form. The Provider Maintenance Form (PMF) is to be used by California physicians, practitioners, professionals and ancillary providers to request changes to their practice profiles with Anthem BlueCross.
What is timely filing for Anthem Blue Cross CA?
Anthem follows the standard of: 180 days for participating providers and facilities. 210 days for nonparticipating providers and facilities. Timely filing is determined by subtracting the date of service from the date we receive the claim and comparing the number of days to the applicable federal or state mandate.
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by A NUMBER Proof of service must be in the form of a receipt from a licensed service facility. PRE-PAID VEHICLE MAINTENANCE AGREEMENT. Page 3. 10GPMA0215. Administrator:
Billing and group providers use this form to report name changes (business and personal) and address changes. Provider name changes require a new W-9. Group
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