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How is an individual physician/professional provider selected as a participant in the BlueChoice Solutions network?

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How is an individual physician/professional provider selected as a participant in the BlueChoice Solutions network?

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A physician’s/professional provider’s eligibility is based on: • Current BlueChoice network status, • Favorable overall Risk Adjusted Cost Index (RACI), • Performance on Evidence Based Measures Indicators, • Geoaccess needs, • Utilization or coding that does not stand out from their peers, and • Meets the minimum number of episodes

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