Provider Manual

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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