We have availability standards for geographic distribution of primary care providers and high volume specialists. High volume specialties include: obstetrics & gynecology, dermatology, ophthalmology, orthopedic surgery, and otolaryngology. Our standards ensure that our members have access to these providers within a reasonable distance.
To ensure quality, assessment of the performance of all practitioners is included in the credentialing and re-credentialing process. Performance is re-assessed on an ongoing basis through the review of objective evidence from the following sources: