Medical Provider Network Update Leah Hole-Marshall, Acting Health Services Analysis Program Manager January 2014.

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Presentation transcript:

Medical Provider Network Update Leah Hole-Marshall, Acting Health Services Analysis Program Manager January 2014

1 Application Processing Status Network Enrollment (as of Jan 1, 2014): StatusNumber of providers Approved19,255 Provisional 293 Nonprovisional: (In Process App) 700 TOTAL APPROVED OR PENDING DECISION20,248 All Approved and Provisional providers can currently bill and be paid for ongoing care for injured workers. In process applications that are not provisional can provide initial visit only. 99% of open claims have an approved or provisionally approved attending provider.

Latest MPN Statistics- Providers as of

3 Status of denied applications – through January 1, 2014 Providers Providers Initially Denied*133 Providers Approved on Reconsideration28 TOTAL PROVIDERS WITH FINAL OR PENDING DENIAL71 Denial Final & Implemented54 Denial Pending or in Reconsideration17 TOTAL PROVIDERS WITH FINAL OR PENDING DENIALS73 * Excludes 34 applications withdrawn after initial denial. NOTE: Proportionate additional denials are expected as more applications are reviewed. The overall denial rate is currently 0.3%.