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Kansas Provider Updates

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Claims Address: P.O. Box 411806, Kansas City, MO 64141-1806
Electronic Payor ID: Emdeon: 31472, Gateway EDI: 31472, SSI: 31472, ASK / EDI Midwest: 31472



ANNOUNCEMENTS


06/21/2012: April 2012 Newsletter
03/27/2012: IMPORTANT ANNOUNCEMENT:
Effective Monday April 2 2012, the Family Health Partners Wichita Office Will Have An Address Change
Family Health Partners
A Coventry Company
8535 East 21st Street North, Wichita, Kansas 67206
(316) 264-3419 or Toll Free 877-347-9369





Manuals/Resources/Quick Guides
Clinical Practice Guidelines
Prior Auth Quick Guide
Provider Administration Manual (PAM)

Kansas HealthWave
KMAP - Kansas Medical Assistance Program

Commonly-Used Forms (see all forms)
Abortion Consent Form
Beneficiary Bank Info for EFT
Claims Adjustment Form
Pregnancy Notification Form (PNF)
Primary Care Provider Change Form
Prior Authorization Form
Provider Update Form
Hysterectomy Consent Form
Sterilization Consent Form
Therapy Fax Form
Third-Party Liability Form
Urgent Care Locations
Urgent Care Locations - Wichita