Attention: Participating and Non-Participating Providers:
Care Improvement Plus has retained Health Management Systems (HMS) to conduct periodic reviews
of claims, prior to payment, for healthcare services to ensure the integrity of the claims we process—
ensuring appropriate coding, accuracy, compliance with regulations and policies, and utilization
standards. Starting Monday, May 18th, you may be receiving one or more letters from HMS requesting
medical records for claims they have selected for review. You will be asked to send the requested
medical records directly to HMS, using the instructions in the letter. To expedite payment to you for
services provided, we request that you respond as quickly as possible. A phone number will be
included in case you have any questions. Letters from HMS will contain the HMS logo in the upper left
hand corner of the envelope. When you receive an envelope from HMS, we kindly request that you
open it immediately and process the request timely so that reviews can be completed as promptly as
possible. Thank you.
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Why we're a great choice
Care Improvement Plus is a Medicare Advantage plan committed to delivering quality health care benefits and services.
We offer a choice of plan options. Our Chronic Condition Special Needs Plans are for Medicare beneficiaries with diabetes,
cardiovascular disorder and/or heart failure. Additionally, we offer plan options for Medicare beneficiaries who have both
Medicare and Full Medicaid through our Dual Advantage (Regional PPO SNP)(Local PPO SNP) Plans. For those beneficiaries who
don't qualify for our Special Needs Plans (such as spouses and caregivers of our Special Needs Plan members), we have a
Medicare Advantage (Regional PPO)(Local PPO) Plan option.
This page was last updated on: 6/3/2015 3:50:59 PM