FORMS: CO- Disclosure
APPOINTMENT TYPES:
NP CONFIGURATION:
RESIDENT CONFIGURATION:
CLAIM INSPECTION RULES: Differ in every state
FEE SCHEDULES: Differ in every state
CARRIER/ CONTRACTS: Differ in every state
LARGE ENTERPRISE CONTRACTS:
PILOTS:
SPECIAL WORKFLOW:
Billing Configurations:
Current Entity Name(s)
** 2 Entities in CO. :
THRIVE COUNSELING LLC ( TIN 263447487/ NPI
THRIVEWORKS CLINICAL COLORADO, PC (this is for Psychiatry only)
Group code(s) in AMD
TIN(s)
Group NPI
Address
Past Billing notes, dates and previous TINs: