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HMSA Provider Portal: Home Page

Thank you for contacting the HMSA Provider Relations Department. These forms are in pdf format. You may right click and choose 'save as' to download the form to your computer or click on the name of the file to fill out right away. After your forms are filled out - Please fax them to Provider Relations Department at HMSA (313)962-0313 for processing. We are committed to responding to your request within 24 HOURS Monday to Friday between 9-5! Please do not email completed forms! Want to join our network?

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HMSA Provider Portal: Home Page | hmsaproviders.com Reviews

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Thank you for contacting the HMSA Provider Relations Department. These forms are in pdf format. You may right click and choose 'save as' to download the form to your computer or click on the name of the file to fill out right away. After your forms are filled out - Please fax them to Provider Relations Department at HMSA (313)962-0313 for processing. We are committed to responding to your request within 24 HOURS Monday to Friday between 9-5! Please do not email completed forms! Want to join our network?

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1 provider relations portal

2 our pledge

3 notice to providers

4 providers

5 billing claims questions

6 need additional sessions

7 initial referral packet

8 fax cover page

9 business associate agreement

10 need additional assistance

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HMSA Provider Portal: Home Page | hmsaproviders.com Reviews

https://hmsaproviders.com

Thank you for contacting the HMSA Provider Relations Department. These forms are in pdf format. You may right click and choose 'save as' to download the form to your computer or click on the name of the file to fill out right away. After your forms are filled out - Please fax them to Provider Relations Department at HMSA (313)962-0313 for processing. We are committed to responding to your request within 24 HOURS Monday to Friday between 9-5! Please do not email completed forms! Want to join our network?

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hmsaproviders.com

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HMSA Provider Portal: Join Us

http://www.hmsaproviders.com/joinus.html

Join Our Provider Network! We are currently looking for behavioral health providers in all 50 states. Professional opportunities exist for providers in many different speciality areas. To join our provider network, you must have:. Minimum of a Master's level degree in a behavioral health related field. At least three years post-graduate experience. Current state license/certification at the highest level in your state. HMSA is very pleased to consider applications to join our familiy of providers.

2

HMSA Provider Portal: Update your credentials

http://www.hmsaproviders.com/update.html

Please provide us with a copy of your Current. License and Malpractice Insurance. Thank you. Please upload your Current License:. Please upload your Current Malpractice Insurance:. If you are interested in joining our clincian network, please fill out the forms HERE,. Or Contact HMSA's provider relations department. Monday thru Friday 9am - 5pm EST.

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HMSA Provider Portal: Home Page

http://www.hmsaproviders.com/allforms.html

These Individual forms are in pdf format. You may right click and choose 'save as' to download the form to your computer or click on the name of the file to fill out right away. After your forms are filled out - Please fax them to Provider Relations Department at HMSA (313)962-0313 for processing. Please do not email completed forms! Request Statement of Understanding. Notice of Privacy Policy. Request for release of Information. W9 Form - Request for Taxpayer Identification Number and Certification.

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HMSA Provider Portal: Home Page

Thank you for contacting the HMSA Provider Relations Department. These forms are in pdf format. You may right click and choose 'save as' to download the form to your computer or click on the name of the file to fill out right away. After your forms are filled out - Please fax them to Provider Relations Department at HMSA (313)962-0313 for processing. We are committed to responding to your request within 24 HOURS Monday to Friday between 9-5! Please do not email completed forms! Want to join our network?

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