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Network Health

Policies and manuals

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Please use the following resources to stay up to date on our policies and procedures, as well as state and federal regulations.

  • Provider Manual
    Administrative guide and policies and procedures resource, including authorization and claims procedures and clinical guidelines
  • Payment policies
    Policies to assist you and your office staff when submitting claims
  • Coverage guidelines
    Guidelines to assist you when submitting prior authorization requests 
  • HIPAA 
    Information on privacy and protecting your patients’ information
  • HITECH Act and electronic health records (EHR)
    Information about Medicare and Medicaid EHR incentive programs established by the HITECH Act
  • Utilization management (UM)
    Information about UM policies and procedures, and how to request utilization criteria

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