At the time of your visit we require payment for deductibles, co-payments and non-covered services. To request special payment arrangements, or to see if you are eligible for our charity care policy, contact our Patient Financial Services Department at 1.800.576.5050.
For services where your health plan requires prior authorization, our Utilization Management Department follows up-to-date testing and specialty care indication guidelines to authorize care in accordance with your health plan. Utilization Management is comprised of healthcare professionals who are trained in the policies and procedures developed by the health plans and regulatory agencies that will be used when a prior authorization is needed for a service your physician has ordered.
The CHW Medical Foundation Utilization Management Program description and CHW Medical Foundation contracts specifically prohibit the use of incentives for its utilization management programs or coverage determinations. Bonuses or incentive pay is not used in any way to influence a practitioner’s decision to withhold, delay or deny necessary medical services. Any financial incentives used for Utilization Management or Behavioral Health decision makers is not linked or used to encourage decisions that result in under utilization.
For more information, you may contact a representative of the Utilization Management Department by calling 916.379.2885 or 1.888.858.8307 Monday through Friday, between the hours of 8:30 a.m. and 4:30 p.m.
