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Welcome to the ValueOptions NorthSTAR network of participating providers. This manual is a guide to ValueOptions’ policies and procedures for individual practitioners, and specialty network providers in the NorthSTAR program. It provides important information regarding the managed care features incorporated in the ValueOptions participating provider contract. The manual here reflects the policies that are applicable to our “NorthSTAR” program.
“*Please note: ValueOptions contracts with hundreds of customers across the nation. While the NorthSTAR providers have adopted the program details described in this manual, some ValueOptions providers have established procedures and requirements that are unique to their benefit plans. Certain accounts or services require providers to abide by a separate manual. In such instances you would also hold a contract and/or addenda specific to that account or product. If you need to find the general ValueOptions Handbook, please visit: http://www.valueoptions.com/providers/Handbook.htm.
The NorthSTAR provider manual is divided into sections to make it easier for you to find the information you need – please click any of the links below to get started. This guide will provide you with important NorthSTAR information. For more detailed information or questions, please call our toll-free number, (888) 800-6799.
» General Information
» Eligibility, Enrollment, & Covered Services
» Enrollee Information
» Clinical Policies & Procedures
» Specialty Provider Network (SPN) Policies and Procedures
» Appeals, Complaints, and Grievances
» Service Coordination
» Quality Management
» Network Management
» Enrollee and Provider Service Functions
» Claim and Billing Information
» Definitions
» Required Forms
» Online Service Account Request
» Intermediary Authorization Form
» Address Change
» W9 Substitute
IMPORTANT NOTICE
ValueOptions reserves the right to interpret and construe any terms or provisions in this manual and to amend it, in its sole discretions, at any time. To the extent that there is an inconsistency between the handbook and the participating provider contract, the participating provider contract provisions shall govern.
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