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If you are a network physician, hospital or other health care professional, this is your gateway to a wealth of information about NCPPO's programs and services, network participation, policies, procedures and regulatory standards. Watch for updates on new programs, administrative services and other relevant information.
This year, National Capital Preferred Provider Organization (NCPPO) is taking its network in an exciting new direction. It is being transformed into a fully integrated UniCare company and a network rental company through Healthlink.
New Direction Overview
Quick Reference Guide

Find brief overviews of NCPPO networks, specialty networks, medical management and administrative services.
NCPPO - PPO Overview
Bank of America Healthcare Payments
WellPoint NextRx

Find NCPPO policies and procedures
for working with Physicians, Hospitals and Other Health Care Professionals.
HIPAA Standard Transaction & EDI Companion Guide
Electronic Data Interchange
Interactive Voice Response (IVR) Claim Information System
NCPPO Credentialing
Compliance Dispute Facilitator
Find NCPPO's complete array of forms, directories, administrative manuals and newsletters for Physicians, Hospitals and Other Health Care Professionals.  
Physician Advisory Council
National Provider Identifier
IVR Privacy ID Tutorial
Physician Nomination Form
Physician Address/Name/TIN Change Form
Physician Panel Change Form
Claims Categories Requiring Clinical Information
Individual Authorization Form
Psychotherapy Notes Authorization Form
Billing Dispute - External Review Board
NCPPO Standard Precertification Listings
Claim Status Form
In-Touch:
Health Care Practitioner Newsletter
Directories
Service Area Map

W-9 Form

Feedback Form

WellPoint, Inc. Adverse Determination Report


Find information about specific Physicians, Hospitals and Other Health Care Professionals standards and requirements.
Medical Policies & Clinical UM Guidelines
Find NCPPO guidelines about professional claim pricing here.
Guidelines
Definitions
 

Saturday, July 04, 2009

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