This document describes the Eddy SeniorCare Provider Manual definitions, Participant Bill of Rights, Patient Referrals/Service Authorization, Billing, Prohibition on Use of Federal Funds for Lobbying, Monitoring and Evaluation, Physician Orders, Record Keeping and Medical Records, Recovery of Overpayments, Utilization Management, Coordination of Benefits, Civil Rights, Provider Complaints, Quality Assessment and Performance Review, Cultural Competence, Grievances, Appeals.