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Managed Care
Summit is committed to quality managed care through superior medical-case management
services and a statewide managed-care network.
The Heritage Summit HealthCare managed-care
network provides medical services for claimants covered
through workers' compensation insurance programs managed by
Summit. Our network has approximately 4,200
providers. This includes hospitals, walk-in clinics and specialists
such as orthopedists, neurologists, internists, surgeons and
others.
What is a managed-care arrangement?
A managed-care arrangement is a network of health-care providers
and medical case management services certified by the state
of Florida through the Agency for Health Care Administration.
Employer participation in managed-care arrangements for work-related
injuries is mandated by law.
What is special about a managed-care
arrangement?
Managed-care arrangements cut workers' compensation insurance
costs by controlling medical costs that arise from work-related
injuries.
A unique feature of a managed-care arrangement is the medical
care coordinator, who is a primary-care physician assigned to
manage the treatment of an injured worker according to established
medical standards. This coordinator determines which other specialists
injured workers need to visit for treatment of work-related
injuries.
A managed-care arrangement also has a grievance procedure for
workers who feel that their medical care is inadequate in any
way.
If you have questions, please call 1-800-282-7644 and ask for
Heritage Summit.
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