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The Provider must assure accuracy of beneficiary health records. This provision is required by CMS: Medicare Managed Care Manual, ch. 11, §100.4. Medicare Managed Care Manual Chapter 6 - Relationships With Providers (PDF) Chapter 13 - Medicare Managed Care Beneficiary Grievances, CMS reviews and approves an MA organization's coverage of benefits by ensuring compliance with requirements described in this manual, including this chapter, For non-contracted providers, the MAP must follow the Centers for Medicare and Medicaid Services (CMS) prompt pay regulations. See the Medicare Managed Care Click on the above link in order to sign up and receive notification of updates to manuals, communications and other pertinent information for your providerWe use our MA Coverage Summaries and Policy Guidelines to interpret benefits for our members. The policies are subject to change based on Medicare's coverage 10 - Medicare Managed Care Beneficiary Grievances, Organization Medicare health plans and providers will consider such instructions as manual guidance. Local HMOs and PPOs contract with provider networks to deliver Medicare Managed Care Manual, including a chapter on relationships with providers.