Compliance
Sizinikele emazingeni aphakeme, ukuqinisekisa ukuthi sihambisana nemithetho ehambisanayo nemithethonqubo.
Ithimba Lethu Lokuthobela
Sisebenzela ukuvimbela, ukubona, ukuphenya nokulungisa izigameko zokukhohliswa, ukuchithwa nokuhlukunyezwa ngokuhambisana nezidingo ezihambisana nezivumelwano, zokulawula nezomthetho. Sifundisa abasebenzi bethu kanye nabontonkontileka ngezenzo zamanga ezingamanga futhi izindima ezinjalo zidlala ekuvinjeni nasekutholeni ukukhwabanisa, ukuchitha nokuhlukunyezwa kwezinhlelo zokunakekelwa kwezempilo zikahulumeni.
Sithatha izinyathelo ezifanele zokujeziswa ngokumelene nabasebenzi, abahlinzeki, abathintekayo, abaxhumanisi, kanye nama-agent atholakala ukuthi aphule izinqubomgomo zethu noma i-Code of Conduct kanye / noma ukukhwabanisa okufakiwe, ukuchithwa noma ukuhlukunyezwa.
Izixhumanisi zokuhambisana
Sicela uchofoze ezingxenyeni ezingezansi ukuze uthole ulwazi olwengeziwe.
Indlela yokuziphatha
Ukungakhethi
Umthetho wamangalo wamanga
Ukukhwabanisa, ukuTshwala nokuhlukunyezwa
Ubumfihlo Nokuvikeleka Kwemininingwane Yamalungu
Isaziso Semisebenzi Yobumfihlo
Isaziso Semisebenzi Yobumfihlo eSpanishi
I-Conflict of Interest Plan
Ukugunyazwa Ukudalula i-PHI
Bika izinkinga zokuvumelana
Ngokholo oluhle, ukubika okungaziwa kwanoma yikuphi ukukhathazeka okuhambisana nokuhambisana nokukhwabanisa, ukuchitha noma ukuhlukunyezwa noma ezinye izinto ezihambisana nokuhambisana nokukhokha, sicela ushayele ikhomishini yethu yamahhala e-Compliance Hotline ku-877-363-3065. Awudingi ukunikeza igama lakho. Ungase futhi usithumele i-imeyili ku- compliance@coaccess.com. Sicela uqaphele: ama-imeyili awabhekwa njengabangaziwa ngoba aqukethe ikheli le-imeyili lomthumeli.
Ngezinkinga zokuthobela imithetho noma izindaba zobumfihlo, shayela ku-800-511-5010.
Ukukhwabanisa, ukuTshwala nokuhlukunyezwa
Njengengxenye yohlelo lokulandelana kwe-Colorado Access, sinesibopho sokubika ukukhwabanisa okusobala noma okusolwayo, ukudoba nokuhlukunyezwa. Sisebenzisa amagama athi "ukukhwabanisa," "udoti" kanye "nokuhlukunyezwa" okuchazwe ngezansi njengoba kusetshenziswa ebhizinisini lethu.
Ezinye izibonelo zifaka ukukhokhwa kwezinsizakalo ezingazange zenziwe noma zinikezwe, zinikeza ulwazi lwamanga mayelana nobulungu noma ukufaneleka, ukuhlinzeka ngolwazi lwamanga mayelana neziqinisekiso noma izitifiketi, nokukhokhiswa kwezinsizakalo ezenziwe ngumuntu noma inhlangano ekhishwe ekuhlanganyeleni ezinhlelweni zokunakekelwa kwezempilo zikahulumeni .
Uma usola ukukhwabanisa, ukuchitha noma ukuhlukunyezwa, sicela Xhumana nathi.
Ukukhwabanisa, ukuTshwala nokuhlukunyezwa
Ukukhwabanisa: Ukukhohlisa ngamabomu noma ukuphazamisa okwenziwe ngumuntu onolwazi lokuthi ukukhohlisa kungabangela inzuzo engagunyaziwe yena ngokwakhe noma omunye umuntu.
Udoti: Ukufaka izindleko ezingadingekile ngenxa yokuphathwa okungafanele, imikhuba, izinhlelo noma izilawuli; ukusetshenziswa kakhulu kwezinsizakalo (hhayi ngenxa yezenzo zokunganaki) kanye nokusetshenziswa kabi kwemithombo.
Ukuhlukumeza: Izenzo ezingahambisani nemali yezimali, imikhuba yebhizinisi noma yezokwelapha, futhi lokho kubangele izindleko ezingadingekile ezinhlelweni zikahulumeni, noma ekufuneni ukubuyiselwa kwezimpahla noma izinsizakalo ezingekho isidingo sempilo noma ezingaphumeleli ukuhlangabezana nezindinganiso ezihlonishwayo zokunakekelwa kwezempilo. Ihlanganisa nemikhuba yelungu eliholela ezindleko ezingadingekile ezinhlelweni zeMedicaid.