WellChoice is committed to providing access for the delivery of quality medical care and services to its members. The Medical Management department shares the commitment by
- making utilization management decisions based only on the appropriateness of care and service, existence of coverage.
- not rewarding our medical staff-or other people who perform medical management functions-for denials of coverage for medical care and services
- having no financial incentives to encourage decisions that could result in underutilization.
