2021 VHP Provider Manual

Page 20

Back to Chapter 3 Table of Contents

CH 3:

Enrollment & Elligibility This Chapter Includes: Alert Alert draws attention to critical information that has changed this year.

1. VHP’s Four Commercial, HMO Products 2. Employer Group 3. Covered California and Individual & Family Plan 4. Eligibility Grace Period for Covered California Members and Individual & Family Plan Members

Contact Contact information on who to contact for assistance. Book Table of Contents Click the purple VHP circle logo, located at the bottom left corner, to return to the main TOC.

5. Subsidized Members 6. Non-Subsidized Members 7. Verifying Eligibility and Benefits 8. Online Verification of VHP Member Eligibility 9. VHP Member ID Cards 10. Member Cost Share

11. Sample ID Cards for Employer Group, Covered California & Indivivuals & Family Plans 12. EDI: Enrollment and Eligibility (834) and Response (999 & TA1) 13. Eligibility and Capitation Reports 14. Provider Entities Delegated for Administrative and/or Clinical Services

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CH 3: Enrollment & Elligibility

2021 / Provider Manual


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2021 VHP Provider Manual by Valley Health Plan - Issuu