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PROVIDERS DESIGNATED AS PRIMARY CARE PHYSICIANS (PCPs)
Bravo Health recognizes the following physician types as PCPs:
• Family Practice
• General Practice
• Geriatric Medicine
• Internal Medicine
Bravo Health also recognizes Infectious Disease physicians as a PCP for Members who may require a
specialized physician to manage their specific healthcare needs.
CHANGES IN ADMINISTRATIVE, MEDICAL AND/OR REIMBURSEMENT POLICIES
From time to time, Bravo Health may amend, alter or clarify its policies. Examples of this include, but are
not limited to, regulatory changes, changes in medical standards and modification of Covered Services.
Specific Bravo Health policies and procedures may be obtained by calling our Provider Services
Department.
Bravo Health will communicate changes to the Provider Manual through the use of a variety of methods
including but not limited to:
• Annual Provider Manual Updates
• Letter
• Facsimile
• E-Mail
• Provider Newsletters
Providers are responsible for the review and inclusion of policy updates in the Provider Manual and for
complying with these changes upon receipt of these notices.
NOTIFICATION REQUIREMENTS FOR PROVIDERS
Participating Providers must provide written notice to Bravo Health 60 days in advance of any changes to
their practice or, if advance notice is not possible, as soon as possible thereafter.
These changes should be communicated to the Bravo Health Provider Data Maintenance Department
via facsimile at 1-866-234-9418 or by e-mail to PDM@BravoHealth.com.
The following is a list of changes that must be reported to Bravo Health:
• Practice address
• Billing address
• Fax or telephone number
• Hospital affiliation
• Tax Identification Number
• Practice name
• Providers joining or leaving the practice (including retirement or death)
• Practice Mergers and/or acquisitions
• Adding or closing a practice location