New Claims System Update

12.2 Physician - Patient Communications

Provider Manual
heartbeat_stet

12 PERFORMANCE AND TERMINATION

12.2 Physician - Patient Communications

Providers acting within the lawful scope of practice are encouraged to advise IntegraNet members of the following:

  • Health status, medical care or treatment options (including any alternative treatments that may be self-      administered), including the provision of sufficient information to provide an opportunity for the patient to decide        among all relevant treatment options
  • Risks, benefits and consequences of treatment or nontreatment
  • Opportunity for the individual to refuse treatment and to express preferences about future treatment decisions

    • Physician and patient communications are a necessary component of standard medical practice. Although coverage under this program is determined by IntegraNet, the provider remains responsible for all treatment decisions related to the Amerivantage plan member.