044-13 Wyo. Code R. §§ 13-10 - Statistical Information
The HMO Will compile, develop, evaluate, and report statistics relating to the cost of operation, the pattern of utilization of services, the accessibility, and availability of the services. Sufficient information Shall be maintained to support continuity and adequate quality of care to the enrollees.
(a) The HMO
shall maintain a membership file which shall include:
(i) Name of the individual;
(ii) Name and address of the
subscriber;
(iii) Family
number;
(iv) Individual's
identification number;
(v) Date of
birth;
(vi) Sex;
(vii) Coverage or method of
payment;
(viii) Insurance
certificate number or contract number;
(ix) Entry date and reason, if available;
(x) Exit date and reason, if
available;
(xi) Date of most recent
verification of information; and
(xii) Such other information as the
commissioner or the administrator may require.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.