Search Locations MENU First Tier, Downstream & Related Enti ... First Tier, Downstream & Related Entities We at ATRIO Health Plans would like to thank you for your partnership and helping us to provide exceptional service to our Medicare beneficiaries. The Centers for Medicare and Medicaid Services (CMS), in its regulatory guidance, refers to our contracted partners as First-Tier, Downstream, and Related entities, or FDRs. ATRIO is required to effectively manage and oversee our FDRs that assist us in providing administrative and/or healthcare services for our Medicare beneficiaries. Examples of FDRs include field marketing organizations, agents, providers, pharmacies, pharmacy benefits managers, claim administration vendors, fulfillment vendors and other vendors who assist us with delivering benefits. ATRIO maintains the ultimate responsibility for fulfilling the terms and conditions of its contract with CMS, and for meeting the Medicare program requirements. Therefore, CMS may hold ATRIO accountable for the failure of its FDRs to comply with Medicare program requirements. ATRIO FDR Compliance Guide CMS Requirements for Downstream Entities ATRIO Corporate Code of Conduct ATRIO FWA Poster Medicare Compliance Program Self-Assessment Tool Offshore Services Attestation FDR FAQs Compliance Attestation Template Last updated Aug 28, 2021 Customer Service Hours Daily: 8 a.m. - 8 p.m. Toll Free 877-672-8620 TTY/TDD 711 Company About Us Our Offices News & Blog Employment Opportunities Benefit Company Report Disclosures Notice of Nondiscrimination Compliance at ATRIO Fraud, Waste & Abuse Notice of Privacy Practices First Tier, Downstream & Related Entities © 2021 ATRIO Health Plans. ATRIO Health Plans has PPO plans with a Medicare contract. Enrollment in ATRIO Health Plans depends on contract renewal. Out-of-network/non-contracted providers are under no obligation to treat ATRIO Health Plan members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. Y0084_WB Copyright © 2021 Site Map Privacy Policy