For Providers
California
California
Ensuring our members receive the highest quality and most appropriate care possible starts with a strong network of providers. We are committed to supporting you, making it simple and easy for you to work with us and maintain your network status.
In this section, you will find resources to help you become a provider, navigate the NovumHealth system, and remain in good standing.
UM decisions are based on medical necessity, which includes appropriateness of care and services, and the existence of available benefits. NovumHealth does not specifically reward health plan staff, providers, and practitioners or other individuals for issuing denials of coverage, care, or service. Incentive programs are not used to encourage decisions that result in underutilization; and there is no conflict of interest between NovumHealth and its UM decision-makers.