Provider Manual
6 PROVIDER NETWORK INFORMATION
6.12 Provider Panel - Transferring and Terminating Members
Health Plan will determine reasonable cause for transferring a member based on written request and documentation submitted by the provider. Providers may not transfer a member to another provider due to the costs associated with the member’s covered services.
A provider may request termination of a member due to fraud, disruption of medical services or the member’s repeated failure to make the required reimbursements for services. In such cases, the provider should contact the health plan directly or IntegraNet Provider Relations.