Access Medial IPA, On Behalf Of Our Health Care Professionals, Affirms That It Encourages Appropriate Utilization Based On The Medically Necessity Of All Members And Discourages Under-Utilization Of Services. UM Decision Making Is Based Only On Appropriateness Of Care And Services And Existence Of Coverage. Access Medial IPA Does Not Reward Health Care Professionals For Issuing Denials Of Coverage Or Service Care. Providers And Practitioners Are Not Prohibited From Acting On Behalf Of The Member. Physicians Cannot Be Penalized In Any Manner For Requesting Or Authorizing Appropriate Medical Care.
Any Member Or Physician Looking To Obtain A Copy Of The Criteria Used To Make A Clinical Decision May Call The Designated Access Medical IPA Customer Service Line At
(949) 750-2009 And Request The Documentation Be Sent To You.
