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Elite Health Plan's focus on Compliance

The ongoing process of meeting or exceeding the legal, ethical, and professional standards applicable to a particular healthcare organization or provider.

Elite's Health Plan's Compliance Program

Elite Health Plan has established a Compliance Program was established with a collection of efforts and activities creating a culture within the organization that promotes prevention, detection, and fixing instances of FWA and non-compliance that do not follow federal and state laws, and private payer healthcare program requirements, as well as an organization’s ethical and business policies.

Notice of Availability (NOA)
Non-Discrimination Notice - English
Non-Discrimination Notice - Spanish
Member Rights and Responsibilities - English
Member Rights and Responsibilities - Spanish
Direct Reimbursement Claim Form
Election Period Attestation - English
Election Period Attestation - Spanish
Waiver of Liability - English
Acknowledgment Elite Health Plan Compliance Anti Fraud Program
Compliance and Anti Fraud Program - English
Compliance and Anti Fraud Program - Spanish
Training Slides Compliance Anti Fraud HIPAA Cyber Security
Compliance Program Employee Training Policy - English
Compliance Program Employee Training Policy - Spanish
Duties of Compliance Officer Policy
Reporting Potential Issues or Areas of Noncompliance Fraud and Abuse - English
Reporting Potential Issues or Areas of Noncompliance Fraud and Abuse - Spanish
Effective Lines of Communication Policy - English
Effective Lines of Communication Policy - Spanish
Prompt Response to Detected Offenses Policy - English
Prompt Response to Detected Offenses Policy - Spanish
Auditing and Monitoring Policy - English
Auditing and Monitoring Policy - Spanish
Written Policies and Procedures and Standards of Conduct Policy - English
Written Policies and Procedures and Standards of Conduct Policy - Spanish
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