If providers determine that their offices and Commercial MHP or Mercy MedicareADVANTAGE members are unable to develop a mutually satisfactory patient-physician relationship, the provider can request that the members choose another provider. The provider then informs the member in writing and sends a copy of the letter to Provider Relations at the address previously listed.
A representative from the Member Services Department will contact the member to facilitate the change. The member’s new provider will be effective immediately upon selection, if the member does not appeal removal from the physician’s practice. MHP requires that you continue to provide urgent medical care for the member for a maximum of 45 days from the date of the letter. Should the member appeal, MHP’s medical director or designee will work with the parties toward a mutually acceptable solution.