Just like any other payer within the PHCS PPO Network, your medical service fees will be paid according to your contracted rate.
All UHSM programs include benefits in which members pay you (the provider) a consult fee per office visit, unless the appointment is annual wellness or preventive care, in which case the per visit fee to members is $0.
If you are wondering how much to charge a UHSM member for a particular visit please reference the front of the PHCS UHSM member ID card or the specific Program Details. The per visit consult fee each UHSM member pays varies per program,but operates similarly to co-pay by aligning with the type of medical consult: primary doctor, specialist, urgent care and emergency room visits. If you have additional questions please contact us.
For questions about the eligibility of medical services that may be recommended following an appointment, please submit a UHSM preauthorization form here or contact us at (757) 210-3435.