Hospital Affiliation: This information is collected from the provider at the time they initially join the network and verified upon initial and recredentialing, quarterly through the Network Update link, and reviewed on an annual basis. Accepting New Patients: This provider accepts both new and existing patients. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. To report incorrect provider information, members can contact member services by calling 1-877-661-6230 option 2 or by email: cchp@cchealth.org and Providers or the general public can contact Provider Relations at directoryupdates@cchealth.org or by calling 1-877-800-7423 option 6. They will be able to assist you in making the best health plan choice for you. In the CCHP provider online search engine above you can search for providers that participate with CCHP's two networks consisting of over 5,000 primary care providers and specialists. If you need assistance with using interpreters for Telehealth Appointments, you can email: otiutin@cchealth.org or call 925-313-6063. Phone: 877-800-7423, option 6. However, you must choose a health plan within 30 days. Facilities may also notify us at any time regarding changes to their accreditation status. Imperial Health Plan of California, Inc. (HMO) (HMO SNP) 2021 Provider Directory This directory is current as of 10/01/2020. You can also access the Kaiser online directory. Attention: Provider Dispute Resolution Area, Disputes can also be faxed to: 1-415-955-8815. Contra Costa Residents: Help us improve your online experience. In order to set a COVID-19 . Email and usage of our ccLink Provider Portal is the preferred method of communicating with CCHP staff. Contra Costa Health Plan :: Health Plan :: Contra Costa Health Health (4 days ago) Contra Costa Health Plan. Below is the contact information of the various CCHP departments who can help answer your questions. If you are already one of thousands working with CCHP, your CCHP Provider resources can be found below. Already a CCHP Provider? *Please note that our response time may be delayed if we experience a high number of requests or inquiries. Become a CCHP provider, get references for plan coverages, or do a quick Eligibility & Claims Inquiry with our Provider Resource page. Provider/Pharmacy Directory Directorio de Proveedores/Farmacias Alameda, San Francisco, San Mateo, Santa Clara, Contra Costa Bay Area CA. For questions, please contact Provider Network Management at 1-415-955-8800 #3474. CMS Non-Contracted Provider Dispute Process (PDF). Specialty: A provider's specialty is identified when they join the health plan network. E-mail. Phone: 877-800-7423, option 6. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. 46,000 SF. Home CCHP For Providers CCHP COVID-19 Information CCHP COVID-19 Information. Claims Information :: Health Plan :: Contra Costa Health Services. Facility: CCHP updates facility information daily as changes are reported by the facility. This directory gives members, potential members and providers access to our two networks (Regional Medical Center (RMC) and the Community Provider Network (CPN) of physicians, pharmacies, hospitals and ancillary providers. For further assistance, members can contact Member Services at 1-877-661-6230 option 2 and providers can access interpreter services at 1-877-800-7423 option 4 or directly at 1-866-874-3972. Contra Costa County Human Services East . Martinez, CA 94553 [ Directions] 925-313-6000. PCP's are not required to have hospital privileges. consider the following class definition public class book. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. Health If you live in Contra Costa County and you need health coverage, call 1-800-771-4270. 595 Center Avenue, Suite 100. Martinez, CA 94553 [Directions] All paper claims must be submitted using a CMS 1500 form (for professional providers) and a UB-92 form (for institutional providers). Sign-in to get CCHP Member eligibility and claims information: For general provider-based inquiries, such as: Please contact us at Provider.Services@cchphealthplan.com. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. Please call, email or submit form if you find any inaccuracies with the provider information on our website. 925-313-6002 fax. You may download Instructions for Submitting Provider Disputes (PDF) or call CCHP Provider Relations at 1-415-955-8800, ext. To report incorrect provider information, members can contact member services by calling 1-877-661-6230 option 2 or by email: cchp@cchealth.org and Providers or the general public can contact Provider Relations at providerrelations@cchealth.org or by calling 1-877-800-7423 option 6. To report any errors, click on the link below. CCHP is a California licensed Knox-Keene health plan and offers a variety of commercial products for small and large group employers as well as products for individuals. describeallenumsasstrings obsolete. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. You can download your very own copy of CCHP Provider Manual: The Centers for Medicare and Medicaid Services (CMS) requires annual fraud, waste and abuse training for organizations providing health, prescription drug, or administrative services to Medicare Advantage (MA) or Prescription Drug Plan (PDP) enrollees on behalf of a health plan. Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. Learn about Health Care Reform Contra Costa Health Plan 595 Center Avenue, Suite 100 Martinez, CA 94553 [ Directions] 925-313-6000 925-313-6002 fax E-mail ANNOUNCEMENTS Sep 19, 2022 Contra Costa has 1,953 commercial real estate spaces for lease, representing 15,620,946 sqft space. All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. Email Credentialing Related Questions: CCHPcredentialing@cchealth.org. Health (4 days ago) P.O. can be viewed free at osteopathic.org. This directory covers the . Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. Contra Costa Health Services (CCHS) Coronavirus Call Center: 844-729-8410 (8 a.m. - 5 p.m.) TESTING INFORMATION. CCHP discourages the use of family members, friends or minors to interpret or translate materials. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. Public Detail: Visit URL Give the Medi-Cal county office your updated contact so you can stay enrolled. CCHP is a health maintenance organization (or HMO) delivering full-suite of quality health plan coverage to over 23,000 Members. Providers in the CCRMC network are certified in languages spoken in addition to English. Download the Waiver of Liability Statement (PDF). this directory is for contra costa county, california, and the cities are: alamo, antioch, bay point, bethel island, blackhawk, brentwood, byron, clayton, clyde, concord, crockett, danville, diablo, discovery bay, el cerrito, el sobrante, hercules, knightsen, lafayette, martinez, moraga, oakley, orinda, pacheco, pinole, pittsburg, pleasant hill, Challenges a request for reimbursement for an overpayment of a claim. We are here to help! reports 2022 Housing market forecast revised to 380,630 units sold and a statewide median price of $863,390. By sending us written questions it can also help us develop educational tools such as Frequently Asked Questions. Board certifications for most Doctors of Osteopathic Medicine (D.O.) Please note, this form should also be used to request Prior Authorizations for Medicare plans. If you do not choose a plan within 30 days, the State will choose a plan for you. All Rights Reserved. The Contra Costa County Superior Court is calling on residents to serve their community and apply to join the county's Civil Grand Jury Service for the fiscal year 2020-21 term.. "/> python interpolation. Languages Spoken: These abilities are self-reported by the providers in the CPN network when the provider joins the network and at the time of recredentialing. Contra costa health plan provider directory, Contra costa health plan provider portal, Contra costa health plan authorization form, Duke university health system directory, Gwinnett county health department immunizations, Providence health prior authorization form, 2021 health-improve.org. In addition, CCHP is contracted with the Centers for Medicare and Medicaid Services (CMS) to offer a Medicare Advantage HMO plan (Part C), a Medicare Advantage Special Needs Program (HMO D-SNP), and an integrated Medicare Advantage Prescription Drug Plan (Part D). Download details of the CMS Non-Contracted Provider Dispute Process (PDF). denver real property records alternative search; pennsylvania travel baseball rankings; plusgrade board of directors; obscurus lip presets; asio buffer size; China; Fintech; wpf combobox selected item template; Policy; testicular cancer survivor stories; Entertainment; synology ssh not accepting password; 2023 honda crv hybrid; esuhsd lunch . Lake Forest, CA 92609. Medi-Cal Member Authorization eFax Numbers: Commercial Member Authorization eFax Numbers: Interactive No Authorization Required List, Utilization Management: Authorization and Referrals. Contra Costa Health Plan - Local Health Plans of California Health (7 days ago) Contra Costa Health Plan (CCHP) was the first federally qualified, state licensed, county sponsored HMO in the United States. To select the Kaiser Permanente Medical Group as your PCP for Medi-Cal, you must have been a recent Kaiser member or meet other criteria to qualify. [ help with PDF files ]help with PDF files ] Contra Costa Health Plan Member Services Join Us For Providers Bulletins CalAIM Programs Case Management Programs ccLink Provider Portal Claims Information Clinical Guidelines COVID-19 Information Forms & Resources FSR Tool Health Education Resources Interactive No Authorization . Special Needs Plans (SNP) Model of Care Training (PDF) 2021, Special Needs Plans (SNP) Model of Care Training (Video) 2021, (New) Prescription Drug Prior Authorization Request Form (PDF), Medicare Advantage/Prescription Drug System (MARx) March 2022 Payment Information, Notice of Change to Provider Compensation, View patients health plan benefits and summaries, View patients healthcare claims and deductible/out of pocket balances, Challenges, appeals or requests reconsideration of a claim (including a bundled group of similar claims) that has been denied, adjusted or contested. Email Credentialing Related Questions: CCHPcredentialing@cchealth.org. 1-888-775-7888 (toll free) 1-415-834-2118 (local) Moday-Saturday: 9:00 a.m. to 5:00 p.m. CCHP prefers claims be submitted electronically. Inquiries will be quickly acknowledged (same day), triaged, sent to the appropriate CCHP team for review. All rights reserved | Email: [emailprotected], Contra costa health plan provider directory, Contra costa health plan authorization form, Gwinnett county health department immunizations, Providence health prior authorization form. palomino gunner stallion; nami ca conference 2022 The project represents the most substantial collection of discount oriented retail within East Contra Costa County, a regional trade area of +/-275,000 people in the East San Francisco Bay Area.More info. We provide flyers you can post in your office which state: Point to your language! You may also sign up for CCHP's ccLink Provider Portal where you can enter and submit claims directly to CCHP. CCHP Medi-Cal members should contact the DHCS Medi-Cal Rx Help Line for any pharmacy questions (1-800-977-2273, TTY 1-800-430-7077). (New) Prescription Drug Prior Authorization Request Form (PDF) (Uploaded 02/2018). This directory is for informational use only. Contra Costa Health Plan (CCHP) uses Availity as our clearinghouse. Non-Contracted Provider Dispute Resolution Process For CMS Medicare Advantage Plan Members. Email Contract Related Questions: CCHPcontracts@cchealth.org. Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. Hospital information is verified by viewing the information listed on their website. * Translation services available for most languages. Documents will be mailed within five (5) business days of receiving request. We will respond within 1 to 3 business days, as opposed to having your staff call and wait on the line. Fax Numbers for Prior Authorization Requests: Email Behavioral Health Related Questions: IT Support to reset password or access issues.
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