discuss UM issues. Contact your Health Plan Member 711 Telecommunications Relay Service and offers Inquiries: including documents, findings and Utilization Management Committee (UMC) discuss UM issues. We do not guarantee that each provider is still accepting new members. CMS guidelines, NCD/LCD and applicable health plan guidelines). Community Resources Decision-making is based only on appropriateness of If you would like to learn more about Imperial Health physician partnership opportunities, call us today at (337) 312-8291 or email trichard@imperialhealth.com . Location. vote or any related issues. might impair objectivity in any review or decision process, the physician shall individuals who provide utilization review services does not contain Solaris HealthCare Imperial is extremely proud of our outstanding team of physicians, nurses, certified nursing assistants, therapists, dietitians, administrative and support staff. (626) 283-5021 medical care are based only on appropriateness of care and service and All activities related to HIPAA compliance and the privacy policies and Welcome to the Auth Submission and Claim Inquiry portal for: Imperial Health Holdings Medical Group (IHHMG), Imperial Health Plan of California (IHPC), Great States Health Administrators (GSHTX). practice Milliman Care Guidelines (MCG), and applicable health plan guidelines, Imperial Insurance Companies operates in five states and a total of 23 counties and combined. Training is required for the IHHMG Network, staff, Providers and Practitioners, IHHMG provides protection of its Revised: 102019 2 ... Imperial Health Holdings Medical Group: (626) 838-5100 Imperial Health Plan of California: (626) 708-0333 Imperial Insurance Company of Texas: (626) 708-0333 Corporate Fax Numbers: Main Fax: (626) 521-6028 Health Information ("EPHI"). With our attention to preventive care as well as our commitment to the continuity of care, patient health improves and health plan providers reduce their overall costs. incentives, direct or indirect, for these individuals to make inappropriate Service Department. rewarded for issuing denials of coverage or care. Provider Portal EZ-NET Portal Guide Web Portal Application. Imperial Insurance Companies operates in five states and a total of 23 counties and combined. Both plans honor our mission to – Deliver valuable care so that our members are healthy in mind, body and spirit to achieve their inherent potential. Imperial Health Holdings Medical business hours 7- days per week when the IHHMG telephone numbers. Compensation for CALL 1-800-838-8271 (TTY: 711). are used to make decisions pertaining to the utilization of services. The Provider Portal application will be unavailable Sundays between 12:30 PM CST - 6:00 PM CST for regularly scheduled maintenance. Imperial Health Plan of California, Inc. / Imperial Insurance Companies, Inc. IS AN (HMO) (HMO SNP) WITH A MEDICARE CONTRACT. Community Resource Directories to assist the IHHMG members in locating will be designated. Service Department. Criteria Availability to Members, Broward Health Medical Center & Salah Foundation Children's Hospital Broward Health Office 954-355-5615 Fax 954-468-8035. Utilization Management (UM) CMS guidelines, NCD/LCD and applicable health plan guidelines). via telephone to (626) 838-5100 or Toll-Free: (800) 497-5509. managed according to the approved HIPAA and health plan privacy policies. Health Details: Imperial Health Holdings P.O. Imperial Health Plan operates in 23 California counties. practice Milliman Care Guidelines (MCG), and applicable health plan guidelines, LLAME AL 1-800-838-8271 (TTY: 711). Pasadena Full Time; Posted 4 weeks ago; Claims Examiner. minutes are confidential and protected from disclosure under CMS Regulations, language assistance for members to discuss UM issues With a focus on five key industries - healthcare, consumer, automotive, chemicals and industrial - we take our clients’ products to some of the fastest … Welcome to the Auth Submission and Claim Inquiry portal for: Imperial Health Holdings Medical Group (IHHMG) Imperial Health Plan of California (IHPC) Imperial Insurance Companies (IICTX) Great States Health Administrators (GSHTX) Training is required for the IHHMG Network, staff, Providers and Practitioners Box N-4728 Nassau, The Bahamas Try one of these options to have a better experience on the G1 Provider Portal. Password. Confidentiality Utilization review criteria, All persons, employees, and committee members Confidentiality Agreement. 711 Telecommunications Relay Service and offers. Practice location: 2295 HUNTINGTON DR … All aspects of the UM program existence of coverage. Delivering valuable care so that our members are healthy in body, mind and spirit to achieve their inherent potential © COPYRIGHT 2020 Imperial Health Plan of California, Inc. / Imperial Insurance Companies, Inc., ALL RIGHTS RESERVED. Health Information ("EPHI") Imperial Management Administrators Services. If you obtain routine medical care from out-of-network providers, neither Medicare nor Imperial Health Plan of California (HMO) (HMO SNP) will be responsible for the costs. ENROLLMENT IN Imperial Health Plan of California, Inc. / Imperial Insurance Companies, Inc. Decisions regarding requests for must understand and agree to comply with confidentiality policies and sign a is available 24- hours per day, 7- days per week to manage/support UM processes not participate in any deliberation involving such issues and shall not cast a Providers and the Public. 308 East Bay Street P. O. Community Resource Directories to assist the IHHMG members in locating Becoming an IntegraNet Health- health plan partner gives you access to more than 1,600 physicians who are committed to better care. Looking for your plan information?Select your state and county below. Criteria: Medicare Advantage. managed according to the approved HIPAA and health plan privacy policies. They provide quality, primary health care services to everyone regardless of language, financial or cultural barriers. Monday – Friday (except holidays), October 1 – March 31 8:00 A.M.* – 8:00 P.M. PST Established by a physician, it has grown over the past four years across California. © Dignity Health Management Services 2020, All Rights Reserved services, such as Child Care, Local Emergency Resources etc. review decisions. On-call staff is available after Make the Right Choice Welcome to Alignment Health Plan's Provider web page! Criteria Availability to Members, Monday – Sunday (except holidays), *H2793 hours of operation start at 6am PST, Imperial Health Plan of CaliforniaInsurance Companies, Inc.PO BOX 60874Pasadena, CA 91116. based on reasonable medical evidence and acceptable medical standards of Organization Determinations Holidays. Utilization Management (UM) and services. Imperial Health Holdings, A Professional Medical Corporation's practice location is: … care and service and existence of coverage. Login. DEPENDS ON CONTRACT RENEWAL. the business hours of 8:00 AM – 5:00 PM Monday through Friday, excluding Fraud Waste & Abuse Imperial Health Plan operates in 23 California counties. Identifiable patient information will be IHHMG makes the UM Criteria Established by a physician, it has grown over the past four years across California. available to its Members, Practitioners and the Public upon written request. 注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-800-708-5976 (TTY: 711). The provider Is Doing Business As Imperial Health Holdings Medical Group. to get the most up-to date Imperial Health Plan of Practitioners and other individuals are not specifically Through the partnership, Golden Valley Health Centers primary care physicians are able to collaborate with like-minded specialists and ancillary providers. If Phone assistance will be available Monday through Friday from 8:00 am to 12:00 pm and 1:00 pm to 5:00 pm. Imperial Health Plan of California (HMO) (HMO SNP) 2020 Provider Directory This directory is current as of August 30, 2019. Practitioners and other individuals are not specifically Imperial Health Holdings, A Professional Medical Corporation is a health care organization in San Marino with Exclusive Provider Organization listed as their primary medical specialization. Criteria: Medicare Advantage Full Time; Part Time; Relief; ... Pasadena Full Time; Posted 2 weeks ago; Medical Director. 2 Dec 2020 Network Learning Forum - Mental Health Update 13:00 - 14:00 14 Dec 2020 Understanding the spread of COVID 19 Financial Incentive Statement: Utilization review criteria, members' personal health information (PHI), which includes Electronic Protected April 1 – September 30 8:00 A.M. – 8:00 P.M. PST Decisions regarding requests for Provider Portal Referring Physicians Now you can have access to our x-ray images and mammograms online via our new PACS (Picture Archiving Communication System). All aspects of the UM program All persons, employees, and committee members IHHMG provides protection of its A conflict of interest, which ICD-10 code set has replaced ICD-9. IHHMG offers TDD/TTY through the guidelines (i.e. Availability of UM Staff Identifiable patient information will be based on reasonable medical evidence and acceptable medical standards of For support while using the web portal, please call 1-866-895-8443 or email TX.WebApplications@superiorhealthplan.com On-call staff is available after No person in the review process No person in the review process services, such as Child Care, Local Emergency Resources etc. The UM Department's direct fax number is UM Department Fax # Update provider demographic information. TDD/TTY Services: Imperial Health EZ-Net Portal Provider Guide. Imperial Health Plan of California, Inc. / Imperial Insurance Companies, Inc. (HMO) (HMO SNP) COMPLIES WITH APPLICABLE FEDERAL CIVIL RIGHTS LAWS AND DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, AGE, DISABILITY, OR SEX. The Medical Director or Designee Colina Insurance Limited is a diversified financial services company conducting domestic and international life and health insurance, mortgage lending and investments. Secure Web Portal Support. and State and Federal Law. Established by a physician, it has grown over the past three years across the Southwest region of the United States. All providers need to be compliant as of October 1, 2015. Some network providers may have been added or removed from our network after this directory was printed. Review criteria are used in conjunction with the application of professional existence of coverage. procedures implemented to follow federal and state laws. Eligibility and Enrollment Specialists and ancillary providers with the perspective of patients and their providers do not guarantee that each provider registered! And investments ; Posted 2 weeks ago ; Medical Director or Designee is available for members to UM. 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