Gold Coast Health Plan Authorization
Listing Websites about Gold Coast Health Plan Authorization
Welcome Members Gold Coast Health Plan
(4 days ago) WEBIf you're new to Gold Coast Health Plan, this page is a great way to get started on learning about the benefits of membership. Skip to main content. Choose language; 1.888.301.1228; 24/7 Advice Nurse Line: 1.877.431.1700; Welcome to Gold Coast Health Plan (GCHP), your partner in good health. As the only community Medi-Cal plan in Ventura
https://www.goldcoasthealthplan.org/for-members/welcome-members/
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2019/20 - Cloudinary
(7 days ago) WEBAppendix 1: Function of Committees and Gold Coast Health Plan (GCHP) Staff 102 Appendix 2: FAQs about Claims and Electronic Billing 105 Appendix 3: Financial Disclosure and Reporting Requirements 109 Appendix 4: FAQs for Member’s Grievances and/or Appeals 111 INDEX 113 Gold Coast Health Plan www.goldcoasthealthplan.org
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PREAUTHORIZATION TREATMENT REQUEST FORM - Cloudinary
(6 days ago) WEBFebruary 9, 2018. PREAUTHORIZATION TREATMENT REQUEST FORM. oURGENT (72 hours) oRoutine oRETRO FAX TO: 1-855-883-1552 PHONE: 1-888-301-1228 www.goldcoasthealthplan.org TO PROCESS YOUR REQUEST, THIS FORM MUST BE COMPLETED AND LEGIBLE PROVIDER: Authorization Does Not Guarantee …
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SERVICES REQUIRING PRIOR AUTHORIZATION - Cloudinary
(1 days ago) WEBElective Admission- All hospital admissions require review by Gold Coast Health Plan Health Services Department. For elective admissions, prior authorization is required for the procedure and the (All Home Health Care requires authorization.) 99341-99350 . 99374-99375 : S5180-S5181 . S9122-S9124 . T1021-T1022 . S9127-S9131 : S9490 …
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SERVICES REQUIRING PRIOR AUTHORIZATION - Cloudinary
(6 days ago) WEBhospitals MUST notify Gold Coast Health Plan Health Services department within 24 hours or the next business day of the patient admission. All days will be reviewed for medical necessity. Ambulatory Surgery (All places of service 24 require authorization.) All Outpatient surgeries require pre-authorization. LTC
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Direct Referral Authorization Form - Cloudinary
(1 days ago) WEBWritten Requests: Gold Coast Health Plan, P.O. Box 9153, Oxnard, CA 93031. You may also fax to (888) 310-3660. PCP INFORMATION: PCP Group Name: Physician Name: AUTHORIZATION EFFECTIVE DATES: Authorization is valid from through (dates). PCP Signature . Date issued . Revision 12 22 2011 . Author
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Gold Coast Health Plan 835 - payerlist.claimremedi.com
(3 days ago) WEBConduent - Gold Coast Enrollment. Scroll down and select: Provider 835 Authorization Form. 1. Complete the form as appropriate, using the information provided below. Provider Information: Complete as appropriate. Payers Requested: Check Box for Gold Coast Health Plan. Retrieval Permissions: Click the Yes radio button.
https://payerlist.claimremedi.com/enrollment/Gold%20Coast%20Health%20Plan%20835.pdf
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Gold Coast Health Plan CoverMyMeds
(5 days ago) WEBCoverMyMeds is Gold Coast Health Plan’s Preferred Method for Receiving ePA Requests. CoverMyMeds automates the prior authorization (PA) process making it the fastest and easiest way to review, complete and track PA requests.
https://www.covermymeds.com/main/partners/gold-coast-health-plan/
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Claims Payer List - Conduent
(3 days ago) WEBProvider 835 Authorization Form › In addition, you must read and electronically sign our Trading Partner Agreement. Trading Partner Agreement Form › If you have questions about submitting claims to Gold Coast Health Plan through EDI Direct, please email the EDI Commercial Support Team or call 1-800-952-0495.
https://www.conduent.com/edi-services/gchp/
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Kaiser Permanente Gold Coast Health Plan Member Handbook
(7 days ago) WEBCall Gold Coast Health Plan member services at 1-888-301-1228 (TTY 1-888-310-7347) to learn more. Depending on the type of the provider, you may be able to choose one PCP for your entire family who are members of Kaiser Permanente. If you do not choose a PCP within 30 days, we will assign you to a PCP.
https://thrive.kaiserpermanente.org/wp-content/uploads/2014/07/55cb154e2ecf62f6e8de.pdf
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Gold Coast Health Plan - Conduent
(1 days ago) WEBEDI Direct is the Clearinghouse that will manage the receipt and delivery of the Gold Coast Health Plan claim files. EDI Direct will not be able to answer billing questions or provide an explanation of claim denials. Please contact Gold Coast Health Plan Provider Relations for more information at 1-888-301-1228.
https://downloads.conduent.com/content/usa/en/document/gchp-837pi-companion-guide-v5010.pdf
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Prior Authorizations - VCHCP
(5 days ago) WEBPrior authorization is required for certain services. Please refer to the links below for specific details on which services require prior authorizations, or you may call Member Services at (805) 981-5050. If prior authorization is required, your Primary Care Physician (PCP) and/or Specialist will submit the request to VCHCP.
https://www.vchealthcareplan.org/members/priorAuthorizations.aspx
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Horizon Advantage Direct Access - eHealth
(6 days ago) WEBOffice Setting 100% after copayment. 60% after deductible. Inpatient and Outpatient Mental Health/Substance Abuse/Alcoholism Services must be coordinated through Magellan Behavioral Health at 1-800-626-2212. Office Visit Copayment Deductible Maximum Out of Pocket In-Network Out-of-Network In-Network Out-of-Network $20/$40 $1,500 $2,500 …
https://www.ehealthinsurance.com/ehealthinsurance/benefits/sbg/NJ/NJHorizon_ADV_DA_100_80_60.pdf
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Horizon Blue Cross Blue Shield of New Jersey 2017 Managed …
(4 days ago) WEBHorizon Blue Cross Blue Shield of New Jersey 2017 Managed Care Benefits-at-a-Glance1. If you have questions about enrollment, benefits or claims, visit NaviNet.net or call 1-800-624-1110 to use our Interactive Voice Response system, available 24 hours a day, seven days a week, generally including weekends and holidays.
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Horizon HSA Compatible Direct Access 100/80/60 ($30/$50)
(1 days ago) WEBPrior Authorization Some services/procedures require prior authorization. For a complete list, call Member Services at 1-800-355-BLUE (2583) or visit We require the employer to contribute a minimum of 10 percent to the cost of the group health benefits plan. 3. We require 75 percent of your eligible employees (those working 25 hours or more
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Air Force's Controversial Plan to Transfer National Guard Units to
(1 days ago) WEBThe amendment to the House Armed Services Committee's National Defense Authorization Act, or NDAA, would also make transferring units optional, rather than required, if the legislation becomes law.
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