To measure our network’s performance regarding best practices, we choose three clinical practice guidelines and resources to use while assessing medical records. This year, we chose two adult-focused and one child-focused clinical practice resources for measurement.
Current performance measurement guidelines
How will these guidelines be measured?
Portions of members' medical records will be reviewed using a measurement tool which incorporates relevant questions identified within the guidelines. Click on the button to access the tool.
Historical performance measurement guidelines
Questions? We're here to help.
Whether you have a question or are interested in learning more about how we can best support you, please call our National Provider Services Line at 800-397-1630, Monday to Friday, 8 a.m. to 8 p.m. Eastern time.
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