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 the
Quality Management Program section of 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.
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 can request the same
information by calling Customer Service.
Note: Information about our Quality Management Program and these
standards can also be found in the
Provider Manual for Participating
Professional Providers and the
Hospital Manual for Participating
Hospitals, Ancillary Facilities, and Ancillary Providers, which are
available through the NaviNet
® web portal. Paper copies of the
manuals can be ordered by submitting an
online request or by calling
the Provider Supply Line at
1-800-858-4728.
NaviNet® is a registered trademark of
NaviNet, Inc.