044-13 Wyo. Code R. § 13-10

Current through April 27, 2019

Section 13-10 - Statistical Information

The HMO Will compile, develop, evaluate, and report statistics relating to the cost of operation, the pattern of utilization of services, the accessibility, and availability of the services. Sufficient information Shall be maintained to support continuity and adequate quality of care to the enrollees.

(a) The HMO shall maintain a membership file which shall include:

• (i) Name of the individual;

• (ii) Name and address of the subscriber;

• (iii) Family number;

• (iv) Individual's identification number;

• (v) Date of birth;

• (vi) Sex;

• (vii) Coverage or method of payment;

• (viii) Insurance certificate number or contract number;

• (ix) Entry date and reason, if available;

• (x) Exit date and reason, if available;

• (xi) Date of most recent verification of information; and

• (xii) Such other information as the commissioner or the administrator may require.

044-13 Wyo. Code R. § 13-10