Group Health Government Programs Department
Group Health's Government Programs department offers resources for our contracted providers regarding Medicare and other state and national aid programs.
The Medicare Enrollment and Reconciliation Department handles enrollment, disenrollment, compliance, and reconciliation processes of Group Health's Medicare Advantage plan population. In an ever-changing environment, one of the Department's greatest challenges is meeting the consumers' needs while maintaining compliance with the Centers for Medicare and Medicaid Services.
Our Department handles:
The Provider Manual is not intended for any use by any party other than as a resource for Group Health Cooperative's contracted providers in fulfilling their obligations under provider contracts. Group Health intends for the manual to be accurate for its intended purpose but doesnt guarantee accuracy. Providers should comply with the terms of their provider contracts and any legal requirements in the event of an inconsistency between the manual and a requirement in their provider contracts or the law.