제공자 매뉴얼

전문적인 기준

Providers must render covered services in a quality and cost-effective manner in recognition of Carelon’s standards and procedures as described in this provider manual; in accordance with generally-accepted medical standards and all applicable laws and regulations; and pursuant to the same standards as services rendered to the provider’s other patients. The provider must not discriminate against any member on the basis of race, color, gender, sexual orientation, age, religion, national origin, handicap, health status or source of payment in providing services under this agreement.

공급자는 진단, 질병 유형 또는 상태만을 이유로 필요한 서비스의 양, 기간 또는 범위를 독단적으로 거부하거나 축소할 수 없습니다.