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- 12 Greenway Plaza, Suite 1100, Houston, TX 77046
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Section 1557 Notification: Discrimination is Against the Law
Provider Network Solutions, LLC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Provider Network Solutions, LLC does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Provider Network Solutions, LLC provides free aids and services to people with disabilities to communicate effectively with us, such as:
If you need these services, contact Provider Network Solutions Primary Number
305-284-7484 “Customer Service”
If you believe that Provider Network Solutions, LLC has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Provider Network Solutions, LLC, PO Box 523250 Miami, Florida 33152, Primary Number 305-284-7484, TTY ext. 711, Fax 305- 667-8860, Email http://www.info@pns-mgmt.com. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Provider Network Solutions, LLC “Customer Service “is available to help you.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html
Call Us Today – (888) 852-2070
Provider Network Solutions of Texas and its affiliates ensures that all members, practitioners, providers, and employees involved in Utilization Management decision annually receive and acknowledge the following commitment:
Care- Driven Decisions
UM determinations are made exclusively based on the appropriateness of care and services and the existence of coverage.
No Incentives for Denials
The organization does not specifically reward practitioners or other individuals for issuing denials of coverage or care.
No Incentives Encouraging Underutilization
Financial incentives for UM decision-makers are structured not to encourage decisions resulting in underutilization of care or services.
*If you are a provider please reach out to your Texas Provider Health Network (TPHN) representative to complete attestation.
At PNS Texas, we’ve worked throughout the company to comply with privacy provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), a federal law designed to ensure the privacy of personal and health information. In addition to all federal laws, PNS Texas also complies with all state laws and regulations. If you have any questions or would like to report any issues regarding our Privacy Program, please email our Privacy team at privacy@pns-mgmt.com.
PNS Texas, its subsidiaries, and its affiliates’ certification decisions are based only on the appropriateness of care and service and the existence of coverage. PNS Texas, its subsidiaries, and its affiliates do not reward physician reviewers, case managers, employees, practitioners, or other individuals for issuing denials of coverage or service. PNS Texas, its subsidiaries, and its affiliates do not pay incentives to physician reviewers, case managers, employees, practitioners, or other individuals to reduce the provision of care which is deemed medically necessary. PNS Texas, its subsidiaries, and its affiliates do not give financial incentives to physician reviewers, case managers, employees, practitioners, or other individuals to encourage decisions that result in under-utilization of care or services.
We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. You may access the Nondiscrimination and Accessibility notice by clicking here.
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