Here is some information on when medical records would be needed for your share requests, how medical records are obtained and what these records are used for by netWell:
When would medical records be needed?
Anytime your provider needs to preauthorize a medical need, you and/or your provider would need to submit medical records.
Here are some examples of when medical records would be needed:
- Advanced imaging, such as an ultrasound or an MRI
- Hospitalization
- Emergency Room
- Inpatient/Outpatient procedures
- Diagnostic Colonoscopy
- Physical Therapy
Please see your pre-authorization section within your Member Guide.
Click Here to access your Member Portal
How would medical records be obtained?
Contacting the providers you see currently or have seen within the 2 years leading up to your effective date.
*If you have already submitted medical records to us previously then the netWell medical staff would only need the requesting providers medical records.
You could also contact netWell, complete your HIPAA form and give your providers information to us to handle the process of obtaining your medical records.
Why does netWell need my medical records?
netWell’s medical staff utilizes your medical records obtained from your providers to determine eligibility for the preauthorization or medical expenses submitted.
Have any other questions or concerns? Don’t let the stress of obtaining records be a process you take on alone, our highly experienced teams here to make this a smooth and simple process!
Always feel welcome to call us to assist you through these steps.
Contact us at: 866-NETWELL (638-9355)
Our business hours are Monday through Friday, 8:00 AM to 8:00 PM EST.