1. Membership Verification
ACMS provides the PVP services for its own members and other medical societies under contract. When a physician or other qualified member calls you for an appointment, please also ask under what membership organization they are seeking their covered services under to confirm their eligibility below. Start with the organization through which they learned about the program since they may have overlapping coverage and the referring organization should be the one billed under.
ACMS - Qualified Members Include
|
Idaho Academy of Family Physicians - Qualified Members Include
|
Idaho Medical Association
|
MIEC - Medical Insurance Exchange of California (Effective 4/1/2024)
|
You may not combine overlapping membership eligibility and stack the covered number of appointments together. Please bill the medical association/society based on how the member heard about the program, even if there is overlapping membership coverage. You may not combine their dual eligibility and stack the covered number of appointments together for more than five per year.
Critical/Urgent but Can't Verify Membership
If you cannot initially verify membership with one of the qualifying organizations, but you can verify their Idaho medical credentials, please establish them as a client and contact the ACMS office to find out what what to do before a second appointment. Their membership may have lapsed or they may be confused about membership coverage, and we can verify this while maintaining their confidentiality.
If you cannot initially verify membership with one of the qualifying organizations, but you can verify their Idaho medical credentials, please establish them as a client and contact the ACMS office to find out what what to do before a second appointment. Their membership may have lapsed or they may be confused about membership coverage, and we can verify this while maintaining their confidentiality.