​

Provider Rights

At GCOR, we recognize that healthcare providers have the right to operate in a transparent, compliant, and collaborative environment when engaging with a managed billing and administrative support group. Our policies are designed to respect the professional autonomy of providers while ensuring alignment with state regulations, payer requirements, and ethical standards of care.

​

 

As a provider working with GCOR, you have the right to:

​

​

• Access clear, accurate, and timely billing and utilization reports.

• Receive full transparency regarding claims submission, reimbursement status, and payer communications.

• Be informed of any changes in administrative policies or billing practices that may affect service delivery or compliance.

• Have your clinical documentation treated with confidentiality and integrity in accordance with HIPAA and state privacy laws.

• Collaborate with GCOR’s team in resolving billing issues, audits, or discrepancies promptly and professionally.

• Expect GCOR to operate in alignment with AHCCCS and other state licensure requirements, Medicaid/Medicare guidelines, and other applicable regulatory frameworks.

 

We are committed to maintaining a respectful, accountable partnership that allows you to focus on delivering high-quality care—while we support the systems that sustain it.

 

Provider Responsibilities

We view our relationship with healthcare providers as a collaborative partnership. To ensure efficiency, compliance, and high-quality service delivery.

​

 

We respectfully ask that providers uphold the following responsibilities when working with our team:

​

​

• Submit timely and accurate clinical documentation required for billing, utilization review, and payer reporting.

• Maintain open communication regarding client status, service changes, and any updates that may impact billing or care coordination.

• Adhere to state and federal regulations, as well as payer-specific guidelines related to service delivery and medical necessity.

• Participate in quality assurance processes, audits, and internal reviews as required.

• Notify GCOR of changes in provider credentials, licensure status, or staffing that may affect service authorization.

• Ensure client intake forms and consent documents are complete, accurate, and in compliance with HIPAA and state requirements.

• Respect the collaborative workflow by responding promptly to documentation requests or clarification needs.

• Protect client confidentiality in all communications and shared documentation.

• Maintain professionalism and mutual respect in interactions with GCOR’s administrative and billing staff.

• Stay updated with AHCCCS Policies and Changes.

 

These responsibilities are reviewed during onboarding and reinforced through ongoing collaboration. A full written copy of GCOR’s provider expectations and administrative procedures is available upon request.