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Value option eap billing form address
Value option eap billing form address



Value option eap billing form address

Download Value option eap billing form address




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value form eap billing address option

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Please submit your completed billing form to the address or. "Change of Address" forms can be found at www.valueoptions.com and may be submitted by using one of the following options: Fax: (866) 612-7795 Mail One-Page EAP Case Activity and Billing Form (CAF-1) Frequently Asked Questions (Commercial EAP Accounts Only) 1. Complete ALL One-Page EAP Case Activity and Billing Form (CAF-1). EAP Case Activity and Billing Form. Network providers authorized to perform EAP Services can submit their one-page version of the CAF-1/billing forms via ProviderConnect. illegible EAP Case Activity and Billing Forms may be returned without payment Provide full correspondence address of participant, including City, State and ZIP . appointment options. 4. Instructions: Please use CAPITAL letters. . Frequently to 1-866-408-7240 or mailed to the address indicated on the EAP authorization letter. Thank you - we value and appreciate your continued support as a provider of Why participants value Aetna Resources For Living. Under what circumstances can theClinical information members to address work and life issues before they become unmanageable. One-Page EAP Case Activity and Billing Form (CAF-1) Frequently Asked Value Options. .. This enhancement Case Activity & Billing Form Billing Type: Î Interim Î Final Î Re-Open Statement of Understanding Signed: EAP Counselor's Billing Address: Street Address. (CAF-1 – Do not use for onsite EAP services). (CAF-2 – Use only if EAP services were NOT pre-authorized). Complete ALL information to ensure For most efficient and timely service – use of the Enter EAP CAF flow on or mailed forms should only be submitted to the specific fax or address. Instructions: Please use CAPITAL letters. EAP Case Activity and Billing Form.
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