This does not apply at Indemnity agreements as they are not network-dependent arrangements

You will find arranged national formula so you can credential practitioners and facilities that is followed and you will managed on regional peak by the our very own scientific administration professionals

You will find developed national regulations to help you credential therapists and you may facilities you to definitely is adopted and you can handled at the regional level because of the the scientific government teams

More resources for our very own quality management program or perhaps to demand a writeup on the progress inside the conference our needs, phone call Customer service at number on the back of Cigna ID cards.

Continuity regarding CareContinuity of care concerns for users in our addressed proper care arrangements (Circle, POS [Point-of-Service], EPO [Exclusive Supplier Business], or PPO [Well-known Provider Business] plans) are going to be triggered by many different events–particularly, an agreement with a provider doing a system is actually ended (possibly by merchant otherwise by fitness bundle) if you’re an associate are undergoing a course of cures from the provider, otherwise a member’s manager chooses a separate health intend to bring visibility to help you their staff and a supplier you to an employee is actually actively receiving treatment out-of isn’t from the new community. During the a keen Indemnity plan, users are free to pick people vendor, very changes in handled proper care vendor companies won’t apply.

In the event that an agreement which have a vendor doing a Cigna system is actually terminated or a manager selects an excellent Cigna medical package if you find yourself an employee is receiving proper care of a seller who would maybe not be involved in good Cigna network, we’ll work with the representative in order to guarantee that there’s continuity out-of care and attention. Continuity from proper care might be accomplished by making it possible for this new representative in order to still discovered procedures regarding current non-participating merchant or attempting to affect the easy changeover out-of care and attention to help you an excellent Cigna-using seller.

CredentialingCredentialing off organization exactly who participate in the addressed worry plans (System, POS, EPO, PPO) is among the foundations away from Cigna quality-control circumstances. As Indemnity preparations commonly network-based (people are able to see people business it like), there aren’t any “performing company,” so credentialing cannot apply at Indemnity arrangements.

I’ve setup national rules to help you credential practitioners and you will establishment you to definitely are implemented and you can addressed during the regional peak by the the medical management staff

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