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 CLAIM FORM for RELATED HEALTH ProviderConnect 2013

2013-2024 Form

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welcome to the access online claim submission training video this video will demonstrate how to submit a CMS 1500 professional claim using the access online provider portal access recommends submitting claims using the portal for fast and convenient services on the AZ access gov website click on the plans and providers tab from the drop down menu on the left side is a link that reads access online this link will take you to the access online provider portal website if this is your first time using the access online provider portal you must set up a new account to do this click on the registration link under the new account section you must accept the User Agreement by selecting I agree at the bottom of the page follow the steps to setup your account please remember that sharing accounts is not allowed and be sure to keep your login information safe with your new account setup you are now ready to submit claims online in this demonstration we will be submitting a mock claim for a non-em

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