New Claims System Update

6.11 Provider Panel - Closing a Panel

Provider Manual
heartbeat_stet

6 PROVIDER NETWORK INFORMATION

6.11 Provider Panel - Closing a Panel

When closing a provider panel to new memebers or other new patients, providers must:

  • Give IntegraNet prior written notice to Provider Relations or submission using the online portal/provider website.      The Provider must indicate the provider panel is closing to new members as of a specific closing date and accept       new members until that closing date.
  • Keep the provider panel open to members who were patients of that practice before the panel closed or before they       were enrolled with the health plan.
  • Close the provider panel uniformly to all new Medicare patients, including all private payers and commercial or       governmental insurers the practice participates.
  • Give IntegraNet prior written notice when reopening the provider panel, including a specific reopening date.