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Outreach - Physicians

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Claims EDI

Assembly Bill 1455

 

For the Reasonable and Customary Fee Schedule for Non-contracted Providers, please go here.

For an Account Authorization Form, please download and fill out this PDF.
For help entering Referrals: (818) 707-9603 x0 (Ask the Operator for Referrals)
For help with forgotten passwords: (818) 707-9603 x0 (Ask the Operator for IT)
For help with new logins: (818) 707-9603 x0 (Ask the Operator for MIS)

Group Members and Physicians- All Utilization Management decision-making is based only on the appropriateness of care and service. Providers and members may request copies of Policy & Procedures as well as criteria used in making UM decisions. Providers and others involved in this process are not financially compensated for denials of care or service. Providers or Members with questions or complaints should call our Customer Relations Department at: 818 707-9603 extension 6001. Information regarding the Quality Management Program and process achieved in meeting quality goals is available to practitioners and members. Please contact Customer Relations at the number listed above for more information.

For Patient Rights and Responsibilities please go here.
For Medical Record Documentation Standards please go here.
 
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