New Claims System Update

Provider Manual
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6 PROVIDER NETWORK INFORMATION

6.2 Member Missed Appointments

Members may sometimes cancel or not appear for necessary appointments and fail to reschedule the appointment. This can be detrimental to their health. IntegraNet requires providers to attempt to contact members who have not shown up for or canceled an appointment without rescheduling. The contact must be by telephone and should be designed to educate the member about the importance of keeping appointments and to encourage the member to reschedule the appointment.

Members who frequently cancel or fail to show up for appointments without rescheduling may need additional education in appropriate methods of accessing care. In these cases, please call Provider Services at 833-908-0105 to address the situation. IntegraNet staff will contact the member and provide more extensive education and/or case management as appropriate. It is the IntegraNet goal for members to recognize the importance of maintaining preventive health visits and to adhere to a plan of care recommended by their PCP.