Thank you for being a part of Arizona Priority Care as a network physician. We recognize that our success is determined by our relationship with the physicians in our network. It is our goal to provide a streamlined healthcare delivery system that enables you to care for our mutual patients in a timely and effective manner.
Provider Notices and Updates
What Arizona Priority Care provides:
- An outpatient setting for definitive point of need care through Care Centers.
- Effective physician directed case management for patients with multiple chronic problems.
- Assistance in guiding patients through the healthcare delivery system.
- Resources to reduce avoidable hospital admissions and re-admissions.
Affirmative Statement About Incentives:
Utilization Management (UM) decision making is based only on appropriateness of care and service existence of coverage
The organization does not specifically reward practitioners or other individuals for issuing denials of coverage or service care
Financial incentives for UM decision makers do not encourage decisions that result in under-utilization
Important Referral Information:
Upon request, you may obtain a free copy of the actual benefit provision, guideline, protocol or other similar criteria on which an approval or denial decision was based, by calling Arizona Priority Care at (480) 499-8750.
Additionally, any Provider may contact the Physician who reviewed any specific approved or denied referral determination directly by calling (480) 499-8720.