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Dignity Health Ipa Provider Phone Number, Box 4449 Chatsworth, CA 91313 Phone: (800) 874-2091 Office Hours: Monday through Friday 8:30 A. Calling Group Regarding Claims Calling IPA/Medical Group: For claim filing requirements or status inquiries, you may contact DHMG IE by calling: 1(800) 339-2964 Calling Clearinghouse: If utilizing a clearinghouse you must contact them directly for filing requirements and /or status inquires. Please feel free to contact our Provider Service team at 661-371-2790 with any questions o When e-mailing the Health Information Exchange support team, please do not include PHI (Protected Health Information) that includes Patient Name, Date of Birth, Social Security Number, etc. Our Customer Service Call Center is a valuable aspect of the patient/member experience, ensuring that questions are answered and all services associated with their care are handled in a friendly and efficient manner. Together, we’re helping provide members with best-practice, clinical care that is more personalized and easier to access. Please feel free to contact our Provider Service team at (661) 371-2790 with any questions o Dear Provider & Staff: The following memo provides important information related to QualCare IPA’s contracted Medicare Advantage health Plans. IPA Angeles-IPA, A Medical Corporation Asian Community Medical Group, Inc. Dignity Health Management Services Provider Accounts – Online Services accounts. – 5:00 P. If you have any questions regarding provider account registration, please contact Dignity Health Management Services at 66 n process. We’re working together to create better coordination and communication among our members’ health plan, doctors, and hospitals. DBA: Noble Community Medical Associates, Inc. A PCP referral and administrative authorization from the PCP’s IPA/Medical Group are required for tracking purposes. Professional claims will Family Health Cover (Jamii Plus) Living a healthy stress-free life is every person's dream. Claims Claims Department Preferred IPA Claims Department P. Submitted claims should provide all required information; those submitted with missing data may result in a delay in processing or denial. DHMSO (Redlands) 1980 Orange Tree Lane, Suite 200 Redlands, CA 92371 Phone: (909) 335-7171 If a member is not visible on the provider portal and they do not have Anthem Blue Cross, Blue Shield of California, or WellCare by Health Net, please call 661-371-2790 and select option 2 to speak with Member Services to verify eligibility and place a request to add the member to the portal. Contact Us DHMSO (Main Office) 1600 D Street Bakersfield, CA 93301 Phone: (661) 716-7100 DHMSO (Redlands) 1980 Orange Tree Lane, Suite 200 Redlands, CA 92371 Phone: (909) 335-7171 DHMSO (Santa Cruz) PO Box 2337 Santa Cruz, CA 95063 Phone: (831) 465-7800 If you are currently a Valley Care IPA provider and need to obtain a login and password or if you are interested in joining our provider network, please contact our Provider Relations Department at (805) 604-3308. A contracted provider dispute is a provider’s written notice to Dignity Health Medical Group Inland Empire and/or the member’s applicable health plan challenging, appealing or requesting reconsideration of a claim (or a bundled group of substantially similar multiple claims that are individually Dec 23, 2025 · Eligibility Claims Policies Provider Manual Provider Contacts Service Area Claims Providers are encouraged to file claims electronically whenever possible. MEMBER SERVICES QualCare IPA Phone: (661) 371-2790; option 2 Toll Free: (855) 375-7825 Fax: (888) 870-1658 B. Peter Medical Group). of Mid-Orange County (St. All Canopy Health facility claims are processed by MedPoint Management. Dispute Resolution Process for Contracted Providers Definition of Contracted Provider Dispute. A healthy family is a happy family Brand New Day | Humana | Aetna Please note that Dignity Health Management Services will continue to provide administrative services (Authorization requests through MCS/DHMSO Online Provider portal and claims processing) for the remaining QualCare IPA contracted Health Plans: Valley Care IPA Blue Shield of California and Valley Care IPA have teamed up to work toward a better experience for our members. DBA:Associated Dignity Medical Group, Inc. Quick Reference Guide MEMBER RESOURCES Central Health Medicare Plan offers various resources for our members to manage their health and understand their benefits. Orange County Physicians IPA Medical Group, Inc. O. Please click the link below to log in to your provider portal on EZ-NET. M. OB/GYN services require an administrative referral to facilitate PMG/IPA A participating medical group (PMG) or independent practice association (IPA) is a group of physicians organized as a legal entity that provides services to health maintenance organization (HMO) members. If this information is necessary to describe the issue, please call our support line. Claims Encounter Vaccine Submission Addresses CMS-1500 Instructions Preferred IPA’s Claims Submission Guidelines Preferred IPA’s Provider Dispute Resolution Process Jan 1, 2026 · The Alliance Referral Program allows members to see any specialist in the Canopy Health network for medically necessary specialty care as well as access Ancillary Providers across Canopy Health’s network. California Pacific Physicians Medical Group Orange County Advantage Medical Group, Inc. If a member has the aforementioned health plans through QualCare IPA, please verify eligibility via Dignity Health Management Services Provider Accounts – Online Services accounts. QualCare IPA still retains Dignity Health Management Services (DHMSO) and Centric Healthcare Services (CHS) for the administrative management of its contracted health plans. 4db34, pjyd, 9kb2, v6tea, dic, gy, p0ea, jpc, anh, jgn,