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Provider Panel Status ____________________________________________________
Purpose of Identifying Panel Status
PCP panel status is important for new members who must select a PCP and for existing members who wish to make a change .
Status Definitions :
• Open – Provider is accepting new patients . Members may select any PCP with an open panel .
• Established Only – Providers who are at capacity may select the “ Established Only ” status . Existing patients who become newly enrolled with Hometown Health may then be assigned to the practice . In order to be compliant with the contract ’ s and Hometown Health ’ s nondiscrimination clause , it is important to note that if a provider chooses to have a status of “ Established Only ” for Hometown Health members , the provider must also be “ Established Only ” for all insurance carriers .
Changing Panel Status
To change the status of the panel , you must notify Network Services in writing , on your practice letterhead within thirty ( 30 ) days prior to the effective date of the change . This will give Hometown Health adequate time to ensure members are not adversely impacted . Please include your tax identification number on all correspondence .
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