提供者手册

专业标准

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.

提供者不得仅仅因为诊断、疾病类型或状况而任意拒绝或减少所需服务的数量、持续时间或范围。