This version of the form is not currently in use and is provided for reference only. Download this version of Form DHS-5858-ENG for the current year.
This is a legal form that was released by the Minnesota Department of Human Services - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DHS-5858-ENG Third Party Administrator Mco Setup Form?
A: DHS-5858-ENG Third Party Administrator Mco Setup Form is a form used in Minnesota for setting up Third Party Administrators for Managed Care Organizations (MCOs).
Q: What is a Third Party Administrator?
A: A Third Party Administrator is a company or organization that processes claims, provides administrative services, or manages healthcare benefits on behalf of an insurance company or employer.
Q: What is a Managed Care Organization (MCO)?
A: A Managed Care Organization (MCO) is a type of healthcare organization that manages the delivery, financing, and quality of healthcare services for a specific group of individuals.
Q: What is the purpose of the DHS-5858-ENG Third Party Administrator Mco Setup Form?
A: The purpose of the DHS-5858-ENG Third Party Administrator Mco Setup Form is to collect necessary information from a Third Party Administrator in order to set up their role in managing healthcare services for a Managed Care Organization in Minnesota.
Q: Who needs to fill out the DHS-5858-ENG Third Party Administrator Mco Setup Form?
A: Third Party Administrators who wish to provide services for a Managed Care Organization in Minnesota need to fill out the DHS-5858-ENG form.
Q: Is there a fee associated with submitting the DHS-5858-ENG Third Party Administrator Mco Setup Form?
A: No, there is no fee associated with submitting the DHS-5858-ENG Third Party Administrator Mco Setup Form.
Form Details:
Download a fillable version of Form DHS-5858-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.