Can the physician, professional provider or facility complete an Inpatient Precertification for an HMO Blue Texas member whose PCP is with a delegated IPA or Medical Group?
Related Questions
- A patient was admitted as an inpatient into our acute facility and had an HMO Medicare Advantage plan that termed one week after admission. Is the MA plan liable for the entire inpatient stay?
- Can the physician, professional provider or facility complete an Inpatient Precertification for an HMO Blue Texas member whose PCP is with a delegated IPA or Medical Group?
- How will the physician/professional provider know if they are not selected as a participant in the BlueChoice Solutions network?