Information about the IBC Quality Management Program is accessible in the
Quality Management section of our website. IBC is
dedicated to maintaining the highest standard of care and service for our
members, providers, and the communities we serve. The following information
about our Quality Management Program is available on our website to promote our
standards of care:
Quality Management Program. The description of the IBC Quality Management
Program includes program goals, objectives, and activities to improve clinical,
network, and service quality.
Member rights and responsibilities. All IBC members have defined rights and
responsibilities.
Medical record-keeping standards. Well-maintained medical records are critical
to facilitate communication, continuity, coordination, and an effective plan of
care. Accordingly, IBC standards require that medical records are maintained in
a manner that is current, detailed, and organized as required by applicable
regulatory requirements.
Access and availability standards. IBC standards ensure that our managed care
networks are adequate to meet the needs of our members with respect to location
and appointment accessibility for primary and specialty care as well as urgent
and emergency care in accordance with applicable regulatory requirements.
Privacy and confidentiality. IBC, our contractors, and our affiliates are
required to protect the privacy and confidentiality of our members' personal
and health information in accordance with state and federal regulatory
requirements.
Information about our Quality Management Program and these standards can also
be found in the Provider Manual for Participating Professional Providers
(Provider Manual), which is available through the NaviNet
? web
portal. A paper copy of the Provider Manual can be ordered by submitting an
online request or by calling
the Provider Supply Line at
1-800-858-4728.
Please review the standards listed in this article to ensure that your office
maintains the required access, documentation, and quality care expected of our
network providers.
For more information about our Quality Management Program and our progress in
meeting program goals, please visit our website or contact Customer Service at
1-800-ASK-BLUE. Members may request the same
information by calling Customer Service.
NaviNet? is a registered trademark of NaviNet,
Inc., an independent compnay.