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Neighborhood Health Plan of Rhode Island
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Actived: 7 days ago
NHPRI: TRUST Prospective Member Booklet
WEBPlease refer to the Neighborhood TRUST/Rhody Health Partnersmember handbook for more information. This is on our website at. www.nhpri.org. You may also ask for a copy by calling Neighborhood Member Services at. 1-800-459-6019 (TDD/TTY 711) Covered Benefits. Here are just some of our services.
Summary of Benefits and Coverage: What this Plan Covers
WEBSummary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2019 – 12/31/2019 Neighborhood INNOVATION (ZeroCS) Coverage for: Individual + Family | Plan Type: HMO 1 of 5 For more information about limitations and exceptions, see the plan or policy document at www.nhpri.org
Health Plan Performance Series
WEBTable 3: Neighborhood TRUST Member Scores on HEDIS (2014) 15-NHPRI-0139 : REVISED 6.2015. Neighborhood . TRUST. Score Average Health Plan Score (US) Providing High Quality Care. The Healthcare Effectiveness Data and Information Set (HEDIS) is a tool used by
Neighborhood Health Plan of Rhode Island: Comprehensive …
WEBPlatform: Isaac Product Category CPT® Code CPT® Code Description Notations Notes Cardiology Nuclear Cardiac Imaging 78451 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion,
Neighborhood Health Plan of Rhode Island Member Handbook
WEBNuestro equipo del Servicio de atención a los afiliados de Neighborhood Health Plan of Rhode Island (Neighborhood) está disponible para responder sus preguntas de lunes a viernes de 8:00 a.m. a 6:00 p.m. Llámenos si necesita información sobre su plan Neighborhood ACCESS / RIte Care al 1-800-459-6019 (TDD/TTY 711).
Behavioral Health Transition to Optum Frequently Asked …
WEBNeighborhood Health Plan of Rhode Island ©2018 Updated 7/31/18 How will I initiate a prior authorization request for members? We expect that the process for prior authorization will be similar to how you obtain authorization from
COMPLIANCE AND FRAUD, WASTE AND ABUSE
WEBCOMPLIANCE AND FRAUD, WASTE AND ABUSE 2 Waste includes overutilization of services, or other practices that, directly or indirectly, result in unnecessary costs to a government healthcare program. Waste is generally not considered to be caused by criminally negligent actions but rather the misuse of resources.
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