To learn about vaccine recommendations, availability, locations and more, visit your county's COVID-19 vaccine page. 0000021182 00000 n Lupita Molina - South PCPs, PSR - ex: 10032 Lori Imhof - Downtown Specialist/Ancillary, PSR - ex: 10024 Melinda Cooper - South Specialist, PSR - ex: 10031 760-542-6757 - Primary Care Associates Medical Group Casey Visciglio, PSR, ext: 14143 951-704-1900 - Valley Physicians Network Gladeen Peterson, PSR ext:33001 Because of this, it's important that they both have the most current information. Or call customer service at: 1-800-956-8000, TTY 711 Use tab to navigate through the menu items. 422 0 R 423 0 R 424 0 R 425 0 R Fax the completed form (s) and any supporting documentation to the fax number listed on the form. Get answers. >> "One of the most important relationships you'll ever develop is the one with your primary care provider." PATIENT FORMS. Management Services | Optum - Formerly NAMM California Please select the state where you received your medical service: Alaska. If you have questions about your health information, please call your doctor. California Health & Wellness providers are contractually prohibited from holding any member financially liable for any service administratively denied by California Health & Wellness for the failure of the provider to obtain timely authorization. If your doctor leaves the network, someone from your health plan will contact you and help you choose a new doctor in your network. See CHW provider website "Pharmacy" page for Specialty Pharmacy PA Information and "Pre-Auth Check" page for checking PA status of provider administered drugs. Optum Find care near you. If your doctor can't see you, he or she will direct you to an urgent care center near you. PCAC takes pride in contracting with over 400 Primary Care Physicians and over 2,600 Specialty Care physicians in 35 areas of specialty which includes Board Certified Physicians and Geriatricians. 0000016587 00000 n This ensures their diagnosis codes are documented accurately and timely. Please give your new information to both your health plan and your employer. Your health plan checks with your employer to make sure you're eligible. Legibly print or type all information. Find care. Optum now cares for over 2 million patients in California. Please note: We must follow provider confidentiality laws. /ID [ Providers | Primary Care Associates of California Providers We provide our physicians with the latest technology and resources to give our members the highest quality care. Or call customer service and ask them to mail it to you. >> Excision, excessive skin and subcutaneous tissue (including lipectomy and panniculectomy) of the abdomen, thighs, hips, legs, buttocks, forearms, arms, hands, submental fat pad, and other areas. Medical Records Authorizations | Providence /Rotate 0 Fax form to 877-457-3352. See our Prior Authorization List, which will be posted soon, or use our Prior Authorization Prescreen tool. Our doctors get to know you to help you better manage your overall health. Standard prior authorization requests should be submitted for medical necessity review at least five (5) business days before the scheduled service delivery date or as soon as the need for service is identified. This helps us support and host systems for communication, automatic authorizations, eligibility tracking and transactional claim processing. Print Clearly Name of Primary Care Physician In-Service Date: _____ Given by: _____ It is important to take proper care of your PCP Office Manual. ICR services must be provided within an ICR program approved by the Centers for Medicare & Medicaid Services (CMS). /TT2 1061 0 R Please ask your employer's benefits department for directions and the proper forms. California Health & Wellness providers are contractually prohibited from holding any member financially liable for any service administratively denied by California Health & Wellness for the failure of the provider to obtain timely authorization. Note: Customer service can't look into your medical records for you. /N 9 Our executives spend a lot of time educating state and federal legislators about the coordinated care model. If you need to file an appeal or grievance, please call your health plan. To improve coordination of patient care and help physicians qualify for federal funds under the HITECH Act, we recrafted our connectivity strategy to include a HUB technology. Primary Care Associates of California This helps with communication among different EHR/PMS systems, physicians, hospitals and ancillary providers. These licenses are granted according to the Knox-Keene Health Care Services Act of 1975. Please note, failure to obtain authorization may result in administrative claim denials. 0000022253 00000 n Hours: 24 hours a day, seven days a week Phone: 800-977-2273 (TTY 711) *For Medicare-Medicaid Plan pharmacy requests, please contact Anthem Blue Cross Cal MediConnect Plan (Medicare-Medicaid Plan) Customer Care at 855-817-5786.. Services requiring prior authorization
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