ESBD_486865_1770151666968_Network.xlsx

XLSX spreadsheet 17 KB Posted

Attached to
Self-Insured Employee Group Medical Plan Administration
Solicitation number
RFP-01-SBA-26-274
Issued by
Texas

About this file

This is a network provider directory spreadsheet for a Self-Insured Employee Group Medical Plan Administration contract in Texas. The file contains structured data organized into five primary categories: Network Hospitals, Network Physicians, Network Specialties, Non-Network Contracted Hospitals, Non-Network Contracted Physicians, and Non-Network Contracted Specialties. Each category includes relevant provider information such as National Provider Identifier (NPI) numbers, names, addresses, and for physicians and specialists, additional fields for specialty designation, affiliation status, and group affiliation. The spreadsheet serves as a comprehensive database for managing in-network and out-of-network provider relationships within the plan's service network.

The file structure indicates this is a master provider reference document designed to support network management and claim administration functions for the self-insured medical plan. The data fields suggest the plan maintains distinct networks for contracted versus non-contracted providers, with specific tracking of specialty designations and organizational affiliations. This type of directory is essential for plan administrators to manage provider credentials, route claims appropriately, and ensure accurate coverage determinations based on network status and specialty credentials.

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Text version

Network Hospital NPI Name Address 1 Address 2 City Zip

Network Physician NPI Last Name First Name MI Address 1 Address 2 City Zip Spec Status AFF Group

Network Specialty NPI Last Name First Name MI Address 1 Address 2 City Zip Spec AFF Group

Non Network Contracted Hospital NPI Name Address 1 Address 2 City Zip

Non Network ContractedPhysician NPI Last Name First Name MI Address 1 Address 2 City Zip Spec Status AFF Group

Non Network ContractedSpecialty NPI Last Name First Name MI Address 1 Address 2 City Zip Spec AFF Group

File details come from the government source that posted it. Updated .