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Provider Responsibilities


Clinic Notification to Member of Practitioner or Clinic Termination: Requirements for notifying a practitioner or clinic of termination.

Complaint Review Process: Overview of state and ferderal laws governing HMOs and insurance companies, including Medica's member complaint resolution process.

Medical Records: Guidelines for documentation in members' medical records.

Participation in Reviews and Audits: Information about Medica’s quality improvement activities and studies.

Termination of Health Services by a Provider: Procedures for notifying Medica of intention to discontinue health services to the member.



Return to Health Management and Quality Improvement.