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Provider Manual
Provider Manual
Download the BMC HealthNet Plan Provider Manual for detailed information on the Plan, including our MassHealth, Qualified Health Plan, and Senior Care Options programs.
Type
Title
Provider Manual
Section 1: General Information
Section 2: Member Eligibility
Section 3: Credentialing
Section 4: Provider Responsibilities
Section 5: Provider Resources
Section 6: Member Information
Section 7: BMC HealthNet Plan Product Information
Section 8: Utilization Management and Prior Authorization
Section 9: Billing and Reimbursement
Section 10: Appeals, Inquiries, and Grievances
Section 11: Care Management Services
Section 12: Behavioral Health Management
Section 13: Pharmacy Services
Section 14: Quality Management
Addendum: Consumer Protections for Qualified Health Plan Products
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MassHealth - Community Alliance
MassHealth - Mercy Alliance
MassHealth - Signature Alliance
MassHealth - Southcoast Alliance
MassHealth MCO
ConnectorCare
Qualified Health Plan
Senior Care Options
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