Quick Reference Card - Providers Amerigroup 2025

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Visit our website at . If you are unable to access the Internet, you may receive claims, eligibility and authorization status over the telephone at any time by calling our toll-free automated Provider Services line at the DSU at 1-866-805-4589.
Provider enrollment is distinct from credentialing, although the two processes are often interrelated. While credentialing focuses on verifying the qualifications and competence of the provider, enrollment is about establishing the providers eligibility to bill a particular payer.
For more information about the pharmacies, hospitals, specialists and other providers in the Amerigroup network, you can call us at 800-600-4441 or look on our website at .myamerigroup.com/TX for a comprehensive online provider directory.
Initial credentialing Each practitioner or HDO must complete a standard application form deemed acceptable by Amerigroup when applying for initial participation in one or more of a network or plan program for Amerigroup. For practitioners, the Council for Affordable Quality Healthcare (CAQH) ProView system is utilized.
Step 1: Get an NPI. If you already have an NPI, skip this step and proceed to Step 2. Step 2: Complete the Medicare Enrollment Application. Enroll using PECOS,i the online Medicare enrollment system. Step 3: Work With Your MAC.
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The Quick Reference Cards (QRC) are meant as a supplement to the User Guide to allow members to quickly accomplish their tasks within the eNavFit interface using easy-to-follow pictures and step-by-step instructions.
Undergo specialty training and/or complete fellowships to gain the requisite technical skills needed to perform in their profession. Become licensed by their state and/or other specific professional organization. Apply to the healthcare organization(s) where they wish to practice/affiliate.

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