This version of the form is not currently in use and is provided for reference only. Download this version of Form IB13 for the current year.
Form IB13, known as the State Employees' Health Insurance Plan Provider Screening Form, is used in the state of Alabama, USA. It serves as a registration process for healthcare providers to participate in the state employees' health insurance plan.
Providers include individuals, groups or organizations that deliver medical services to state employees. By filling and submitting this form, providers agree to comply with the terms and conditions of the State of Alabama Health Insurance Plan.
This form includes details such as the provider's name, contact information, specialty, office hours, and other pertinent data. Completing and submitting this form helps maintain an updated list of providers that are included in the health insurance plan network. It assists state employees in having a broad range of options for healthcare services.
The Form IB13, also known as the State Employees' Health Insurance Plan Provider Screening Form, is filed by healthcare providers in the state of Alabama who wish to provide services to State Employees' covered by the Alabama State Employees' Health Insurance Plan. These could include doctors, clinics, hospitals, or other healthcare entities. The form is used to gather information to verify and consider the provider's eligibility to participate in the plan.
Q: What is the Form IB13 in Alabama?
A: Form IB13 is the State Employees' Health Insurance Plan Provider Screening form in Alabama. It is used by healthcare providers who want to be a part of the Alabama State Employees' Health Insurance Plan.
Q: Who uses the Alabama State Employees' Health Insurance Plan Provider Screening Form?
A: The Alabama State Employees' Health Insurance Plan Provider Screening Form is used by healthcare providers who wish to participate in the state's health insurance plan.
Q: What is the purpose of the Provider Screening form in Alabama?
A: The purpose of Alabama State Employees' Health Insurance Plan Provider Screening Form is to gather important information about the healthcare provider. It is used to screen and authorize providers to participate in the state's health insurance program.
Q: Do non-Alabama residents need to fill out Form IB13?
A: Non-Alabama residents do not need to fill out Form IB13 unless they are healthcare providers wishing to provide services to those covered under the Alabama State Employees' Health Insurance Plan.