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Requirements for Notification of Utilization Management Decisions

Provider Type

  • Physicians
  • Hospitals

Health Net is required to comply with timeliness standards for UM decisions and notifications. Health Net has adopted the timeliness standards approved by the Industry Collaboration Effort (ICE) and the National Committee for Quality Assurance (NCQA).

For current standards, refer to the ICE website at www.iceforhealth.org/home.asp to locate the Approved ICE Documents for the commercial UM Timeliness Standards.

Last Updated: 10/30/2019