How will I know if a patients health indicator criteria in the Patient Profile are up-to-date and fall within the qualification guidelines (six months of members effective date of coverage)?
Related Questions
- Can medical providers provide treatment that is not consistent with the Medical Treatment Guidelines by billing the patients group health plan or charging the patient directly?
- What does Priority Health do with the information on health indicator criteria and any lab results?
- What is the HIPAA-mandated alternative for patients who do not meet the health indicator criteria?