Provider Enrollment Application - Non-emergency Transportation Company Network - Arizona

Provider Enrollment Application - Non-emergency Transportation Company Network - Arizona

Provider Enrollment Application - Non-emergency Transportation Company Network is a legal document that was released by the Arizona Health Care Cost Containment System - a government authority operating within Arizona.

FAQ

Q: What is a Provider Enrollment Application?A: A Provider Enrollment Application is a form used to apply for enrollment as a healthcare provider in a specific network.

Q: What is a Non-emergency Transportation Company Network?A: A Non-emergency Transportation Company Network is a network of transportation providers that offer transportation services for non-emergency medical purposes.

Q: What is the Provider Enrollment Application for a Non-emergency Transportation Company Network in Arizona?A: The Provider Enrollment Application for a Non-emergency Transportation Company Network in Arizona is a specific application form used to apply for enrollment in the state's network of transportation providers.

Q: Who can apply for enrollment in the Non-emergency Transportation Company Network in Arizona?A: Any transportation company that provides non-emergency medical transportation services in Arizona can apply for enrollment in the network.

Q: What are the requirements for enrollment in the Non-emergency Transportation Company Network in Arizona?A: The specific requirements for enrollment may vary, but typically, transportation companies need to meet certain licensing and insurance requirements, have qualified drivers, and meet the network's quality standards.

Q: How long does the enrollment process take?A: The length of the enrollment process can vary, but it typically takes several weeks to complete.

Q: What happens after I submit the Provider Enrollment Application?A: After submitting the application, it will be reviewed by the network administrators who will determine if the company meets the requirements for enrollment. If approved, the company will become an authorized provider in the network.

Q: Can I still provide non-emergency medical transportation services without enrolling in the network?A: Yes, you can still provide non-emergency medical transportation services without enrolling in the network, but enrolling may provide additional benefits such as access to a broader customer base and potential reimbursement from insurance companies.

Q: Are there any fees associated with enrolling in the Non-emergency Transportation Company Network?A: There may be fees associated with enrolling in the network, such as application fees and ongoing membership fees. The specific fees will depend on the organization or agency overseeing the network in Arizona.

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Form Details:

  • Released on April 3, 2019;
  • The latest edition currently provided by the Arizona Health Care Cost Containment System;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Arizona Health Care Cost Containment System.

Download Provider Enrollment Application - Non-emergency Transportation Company Network - Arizona

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