Utilization Management Statement on Incentives & Timely Access Standards

Utilization Management Statement on Incentives & Timely Access Standards

Affinity Medical Group coordinates with caregivers to provide services to members based on their individual needs. Medical decisions to provide clinical care are based only on the medical appropriateness of the care and the member’s benefit availability. Medical decisions are not influenced by financial considerations. Affinity does not offer rewards or incentives to providers or individuals conducting utilization review to deny coverage or to encourage inappropriate under-utilization.

Appointment Access Standards