Learn about how we operate and serve our members.
Ensuring our members receive the highest quality and most appropriate care possible starts with a strong network of providers. We are committed to supporting providers, making it simple and easy for you to maintain your network status and work with us.
In the section you will find resources to help you navigate the 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. NBH 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 utilized to encourage decisions that result in under-utilization; and there is no conflict of interest between NBH and its UM decision-makers.