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Valley Health Plan Potential Quality Issue Reporting Form ***Confidential*** MEMBER INFORMATION CALL DATE:NAME:DATE PCI SENT TO QM:VHP ID #: SEX:COVERAGE TYPE:DATE OF BIRTH: CALL TYPE:DATE OF INCIDENT:PROVIDER/SERVICE
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Obtain a copy of the Valley Health Plan potential form.
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Individuals who are interested in enrolling in the Valley Health Plan
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Employees who are eligible for health benefits through their employer
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Valley health plan potential refers to the maximum capacity of health services available within a specific geographic area.
Healthcare providers, insurance companies, and government agencies are typically required to file valley health plan potential.
Valley health plan potential is typically filled out by collecting data on current health services, projecting future needs, and assessing gaps in healthcare coverage.
The purpose of valley health plan potential is to ensure that adequate health services are available to meet the needs of the population in a specific area.
Information reported on valley health plan potential may include current healthcare resources, projected population growth, and anticipated changes in healthcare needs.
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