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December 2015

Clarification: Provider Financial Responsibility mandate

In previous issues of The Record, we’ve written extensively about the Provider Financial Responsibility mandate. We want to make sure you know that all inpatient Case Management-approved services are excluded from the mandate. For other details about the Phase II implementation stage of the mandate, see the June Record article titled “Providers could be financially responsible for not obtaining preservice reviews for Blue Cross members prior to inpatient admissions.”

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