Choose Your Physician. It is your responsibility to select the health care professionals who will deliver your care. We arrange for Physicians and other health care professionals and facilities to participate in a Network. Our credentialing process confirms public information about the professionals' and facilities' licenses and other credentials, but does not assure the quality of their services. These professionals and facilities are independent practitioners and entities that are solely responsible for the care they deliver. Obtain Prior Authorization Some Covered Health Care Services require prior authorization. Physicians and other health care professionals who participate in a Network are responsible for obtaining prior authorization. For detailed information on the Covered Health Care Services that require prior authorization, please refer to the Schedule of Benefits.
Choose Your Physician. It is your responsibility to select the health care professionals who will deliver your care. We arrange for Physicians and other health care professionals and facilities to participate in a Network. Our credentialing process confirms public information about the professionals' and facilities' licenses and other credentials, but does not assure the quality of their services. These professionals and facilities are independent practitioners and entities that are solely responsible for the care they deliver. Obtain Prior Authorization Some Covered Health Care Services require prior authorization. Physicians and other health care professionals who participate in a Network are responsible for obtaining prior authorization. For detailed information on the Covered Health Care Services that require prior authorization, please refer to the Schedule of Benefits. A prior authorization request, once granted or deemed granted, is binding on us, may be relied on by you and the Physician and may not be rescinded or modified by us or our utilization review agent after the Physician renders the authorized health care services in good faith and pursuant to the authorization unless there is evidence of fraud or misrepresentation by the provider.
Choose Your Physician. It is your responsibility to select the health care professionals who will deliver your care. We arrange for Physicians and other health care professionals and facilities to participate in a Network. Our credentialing process confirms public information about the professionals' and facilities' licenses and other credentials, but does not assure the quality of their services. These professionals and facilities are independent practitioners and entities that are solely responsible for the care they deliver. You may select a woman's principal health care Provider in addition to your selection of a Primary Care Physician. A woman's principal health care Provider is a Physician licensed to practice medicine in all its branches specializing in obstetrics or gynecology or specializing in family practice. Referrals If care from another Network Physician is needed, your Primary Care Physician (PCP) will submit an electronic referral online to UnitedHealthcare of Illinois, Inc. for services from that other Physician. If your PCP is not available to submit a referral, any partner of your PCP can be seen without a referral and can submit a referral to see a specialist on your behalf. If you have a chronic condition that requires long-term treatment, your PCP may request a standing referral. Your PCP may renew the standing referral as many times as necessary to treat your condition. Obtain Prior Authorization Some Covered Health Care Services require prior authorization. Physicians and other health care professionals who participate in a Network are responsible for obtaining prior authorization. For detailed information on the Covered Health Care Services that require prior authorization, please refer to the Schedule of Benefits.
