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Affirmative Statement Regarding Incentives
All utilization management (UM) decision making is based only on appropriateness of care and existence of coverage. BHP does not specifically reward practitioners or other individuals conducting utilization review for issuing denials of coverage of care. BHP employs no financial incentive payment arrangements with its UM staff and consultants.
BHP does not use incentives to encourage barriers to care and service. BHP is prohibited from making decisions regarding hiring, promoting or terminating its practitioners or other individuals based upon the likelihood or perceived likelihood that the individual will support or tend to support the denial of benefits