Transcription of Section 2 5 - Specialist Guidelines - Health Plan
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Section 2 5 - Specialist Guidelines - Health Plan
Specialist Guidelines | Section 2 Specialist Guidelines 1. You will be listed on The Health Plan provider directory under specialists THAT MAY REQUIRE REFERRALS. Although The Health Plan has eliminated the call-in referral to The Health Plan Medical Department, the PCP is still the coordinator of all medical care for the member, and still needs to coordinate referrals to specialists . Members who are a part of the ASO line of business may still require phone in referrals to Specialist . 2. If you wish to change to a different category on the provider directory, you must make a request in writing to Provider Relations. Your request will be reviewed in accordance with The Health Plan's credentialing Guidelines to assure you meet any qualifications required for a specific category.
SPECIALIST GUIDELINES | SECTION 2 Specialist Guidelines 1. You will be listed on The Health Plan provider directory under SPECIALISTS THAT MAY REQUIRE
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