{"id":2433,"date":"2023-06-26T22:43:26","date_gmt":"2023-06-26T22:43:26","guid":{"rendered":"https:\/\/samhealth.org\/samhealthplans\/?page_id=2433"},"modified":"2023-08-21T21:06:53","modified_gmt":"2023-08-21T21:06:53","slug":"eliminar-un-proveedor-de-tu-grupo","status":"publish","type":"page","link":"https:\/\/samhealthplans.org\/es\/providers\/join-our-network\/update-your-information\/remove-a-provider-from-your-group\/","title":{"rendered":"Eliminar un proveedor de su grupo"},"content":{"rendered":"\n<section id=\"block_a827f8843dfb9c0dd4547c2b61704036\" class=\"shs-block block-section grid-container has-white-background-color\" >\n\t\t<div class=\"entry-content\">\n\n<h1 class=\"wp-block-heading\" id=\"h-remove-a-provider-from-your-group\">Remove a Provider From Your Group<\/h1>\n\n<\/div>\n\t<\/section>\n\n\n\n<div id=\"block_6ae39e43d407c057e6ceaae0b11e3b85\" class=\"shs-block block-form-columns\">\n\t<div class=\"container form-grid\">\n\t\t\t\t<div class=\"form-grid--form-display has-blue-light-background-color\">\n\t\t\t<div id='wufoo-qi6zacl06v474c'>\nFill out my <a href=\"https:\/\/ihntogether.wufoo.com\/forms\/qi6zacl06v474c\" target=\"_blank\" rel=\"noopener\">online form<\/a>.\n<\/div>\n<script type='text\/javascript'>var qi6zacl06v474c;(function(d, t) {\nvar s = d.createElement(t), options = {\n'userName'      : 'ihntogether',    \n'formHash'      : 'qi6zacl06v474c',    \n'autoResize'    :  true,   \n'height'        : '500',      \n'async'         :  true,          \n'header'        : 'show',      \n'host'          : 'wufoo.com',    \n'entSource'     : 'wordpress',   \n'defaultValues' : ''     \n,'ssl'          :  1           };\ns.src = ('https:' == d.location.protocol ? 'https:\/\/' : 'http:\/\/') + 'secure.wufoo.com\/scripts\/embed\/form.js';\ns.onload = s.onreadystatechange = function() {\nvar rs = this.readyState; if (rs) if (rs != 'complete') if (rs != 'loaded') return;\ntry { qi6zacl06v474c = new WufooForm();qi6zacl06v474c.initialize(options);qi6zacl06v474c.display(); } catch (e) {}}\nvar scr = d.getElementsByTagName(t)[0], par = scr.parentNode; par.insertBefore(s, scr);\n})(document, 'script');<\/script> <noscript> <iframe height=\"500\" allowTransparency=\"true\" sandbox=\"allow-top-navigation allow-scripts allow-popups allow-forms allow-same-origin allow-popups-to-escape-sandbox\" frameborder=\"0\" scrolling=\"no\" style=\"width:100%;border:none;\"src=\"https:\/\/ihntogether.wufoo.com\/embed\/qi6zacl06v474c?entsource=wordpress\"><a href=\"https:\/\/ihntogether.wufoo.com\/forms\/qi6zacl06v474c?entsource=wordpress\" rel=\"nofollow noopener\" target=\"_blank\">Fill out my Wufoo form!<\/a><\/iframe> <\/noscript>\t\t<\/div>\n\t\t\t\t<div class=\"entry-content\">\n\n<h2 class=\"wp-block-heading\">Provider Removal Change Form&nbsp;<\/h2>\n\n\n\n<p>Let us know when your information changes so that we may update our system. This form is intended for use by established contracted groups who need to notify Samaritan Health Plans of changes to their group.<\/p>\n\n\n\n<p>If you are interested in contracting with us, let us know you\u2019d like to&nbsp;<a href=\"https:\/\/samhealthplans.org\/providers\/join-our-network\/\">join our network<\/a>.<\/p>\n\n\n\n<p>Additional steps you should take:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>For questions about this form, please call Provider Services at&nbsp;<a href=\"tel:541-768-5207\">541-768-5207<\/a>&nbsp;or&nbsp;<a href=\"tel:888-435-2396\">888-435-2396<\/a>, 8 a.m. to 6 p.m., Mon. through Fri.<\/li>\n\n\n\n<li>Documentation (such as W-9s) can be faxed to Provider Services at&nbsp;<a href=\"tel:541-768-9364\">541-768-9364<\/a>.<\/li>\n<\/ul>\n\n\n\n<p>Note: All provider and demographic changes must be reported to us within 30 days.<\/p>\n\n<\/div>\n\t\t\t<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Env\u00ede este formulario para eliminar un proveedor de su pr\u00e1ctica grupal.<\/p>","protected":false},"author":20,"featured_media":0,"parent":2379,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_searchwp_excluded":"","_shs_workflow_notes":"","_shs_exclude_from_navigation":true,"_shs_promote_article_on_blogs":"","footnotes":""},"class_list":["post-2433","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/samhealthplans.org\/es\/wp-json\/wp\/v2\/pages\/2433","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/samhealthplans.org\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/samhealthplans.org\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/samhealthplans.org\/es\/wp-json\/wp\/v2\/users\/20"}],"replies":[{"embeddable":true,"href":"https:\/\/samhealthplans.org\/es\/wp-json\/wp\/v2\/comments?post=2433"}],"version-history":[{"count":0,"href":"https:\/\/samhealthplans.org\/es\/wp-json\/wp\/v2\/pages\/2433\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/samhealthplans.org\/es\/wp-json\/wp\/v2\/pages\/2379"}],"wp:attachment":[{"href":"https:\/\/samhealthplans.org\/es\/wp-json\/wp\/v2\/media?parent=2433"}],"curies":[{"name":"Gracias","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}