Network Participating Care Provider Responsibilities
Primary Care Physicians (PCP) Responsibilities
As a PCP, you are responsible to provide medically necessary primary care services. You are the coordinator of our members’ total health care needs. You are responsible for seeing all members on your panel who need assistance, even if the member has never been in for an office visit.
Some benefit plans require PCPs to submit electronic referrals for the member to see another network physician. Go to Chapter 5: Referrals for detailed information on referral requirements.