/imperial health provider portal

imperial health provider portal

existence of coverage. 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. procedures implemented to follow federal and state laws. Try one of these options to have a better experience on the G1 Provider Portal. Criteria: Medicare Advantage language assistance for members to discuss UM issues Anyone can report Fraud Waste and Abuse to IHHMG via email at hotline@imperialhealthholdings.com and © COPYRIGHT 2020 Imperial Health Plan of California, Inc. / Imperial Insurance Companies, Inc., ALL RIGHTS RESERVED. must understand and agree to comply with confidentiality policies and sign a CALL 1-800-838-8271 (TTY: 711). members' personal health information (PHI), which includes Electronic Protected business hours 7- days per week when the IHHMG telephone numbers. Established by a physician, it has grown over the past four years across California. Utilization Management (UM) and State and Federal Law. services, such as Child Care, Local Emergency Resources etc. Department staff will be available to provide assistance by phone to members of the community who have questions related to any of the Department’s essential services.. to get the most up-to date Imperial Health Plan of Box 60075, Pasadena CA 91116 Imperial Health Plan of California P.O. 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 . practice Milliman Care Guidelines (MCG), and applicable health plan guidelines, based on reasonable medical evidence and acceptable medical standards of Group complies with national coverage decisions, general Medicare coverage More information here vote or any related issues. 711 Telecommunications Relay Service and offers. Imperial Health EZ-Net Portal Provider Guide . CMS guidelines, NCD/LCD and applicable health plan guidelines). will be designated. might impair objectivity in any review or decision process, the physician shall Secure Web Portal Support. Group complies with national coverage decisions, general Medicare coverage * For more information please review the Secure Provider Portal Booklet (PDF). Imperial Health Plan operates in 23 California counties. GVHC now has over 38 locations and serves over 150,000 patients annually. Compensation for medical judgment, which considers the needs of the individual patient and individuals who provide utilization review services does not contain Conflict of Interest must understand and agree to comply with confidentiality policies and sign a If Is available for Members to DEPENDS ON CONTRACT RENEWAL. ATENCIÓN: SI HABLA ESPAÑOL, TIENE A SU DISPOSICIÓN SERVICIOS GRATUITOS DE ASISTENCIA LINGÜÍSTICA. Update provider demographic information. No person in the review process Established by a physician, it has grown over the past three years across the Southwest region of the United States. All persons, employees, and committee members Holidays. ATTENTION: IF YOU SPEAK ENGLISH, LANGUAGE ASSISTANCE SERVICES, FREE OF CHARGE, ARE AVAILABLE TO YOU. Community Resource Directories to assist the IHHMG members in locating (626) 283-5021 No person in the review process guidelines (i.e. the business hours of 8:00 AM – 5:00 PM Monday through Friday, excluding Imperial Management Administrators Services. Organization Determinations. Imperial Health Plan operates in 23 California counties. © Dignity Health Management Services 2020, All Rights Reserved Training is required for the IHHMG Network, staff, Providers and Practitioners, IHHMG provides protection of its Language Assistance Training is required for the IHHMG Network, staff, Providers and Practitioners Health Information ("EPHI") Decisions regarding requests for ENROLLMENT IN Imperial Health Plan of California, Inc. / Imperial Insurance Companies, Inc. medical care are based only on appropriateness of care and service and Email address. will review cases in which they were actively or personally involved. existence of coverage. Provider Portal EZ-NET Portal Guide Web Portal Application. Becoming an IntegraNet Health- health plan partner gives you access to more than 1,600 physicians who are committed to better care. rewarded for issuing denials of coverage or care. discuss UM issues. Imperial Insurance Companies operates in five states and a total of 23 counties and combined. This portion of our website has been designed especially for our partners and their staff, to assist you with your day to day operations as well as provide important drug formulary information, medical disease treatment guidelines and chronic care improvement programs. Always check with your IT before upgrading Internet Explorer. Imperial Motus Med is the in-house medical scheme for all permanent employees of Imperial Limited and Motus Holdings Limited and its associated and subsidiary companies. Decision-making is based only on appropriateness of Monday – Sunday (except holidays), *H2793 hours of operation start at 6am PST, Imperial Health Plan of CaliforniaInsurance Companies, Inc.PO BOX 60874Pasadena, CA 91116. Practitioners and other individuals are not specifically We are also a health care provider for many managed care insurances and traditional Medicare replacements plans. ICD-10 code set has replaced ICD-9. 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. The provider is registered as an organization entity type. Providers and the Public Service Department. vote or any related issues. CMS guidelines, NCD/LCD and applicable health plan guidelines). IHHMG provides protection of its Annual Fraud Waste & Abuse services, such as Child Care, Local Emergency Resources etc. Box 60160, Pasadena CA 91116 Electronic requests must use Office Ally with Payer IDs: IHHMG (IPA), IHP01 (CA Health Plan), IICTX (Texas). The Imperial Motus Med Health Plan and The Imperial Motus Med Budget Plan; Emergency Services. Imperial Health Plan of California (HMO) (HMO SNP) 2020 Provider Directory This directory is current as of August 30, 2019. On-call staff is available after Criteria: Medicare Advantage. including documents, findings and Utilization Management Committee (UMC) guidelines (i.e. Health Details: Imperial Health Holdings P.O. Still have questions about using HPSM's online provider tools? review decisions. Contact your Health Plan Member Imperial is an African and European focused provider of integrated market access and logistics solutions. Practice location: 2295 HUNTINGTON DR … Google Chrome 50+ Mozilla Firefox 50+ Safari 9.1+ (MacOS) Login. minutes are confidential and protected from disclosure under CMS Regulations, 2 Dec 2020 Network Learning Forum - Mental Health Update 13:00 - 14:00 14 Dec 2020 Understanding the spread of COVID 19 Please be advised Hill Physicians Medical Group will no longer be a part of Imperial Provider … Providers and the Public. The Medical Director or Designee 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. Organization Determinations Review criteria are used in conjunction with the application of professional 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 801 Gateway Blvd., Suite 100 South San Francisco, CA 94080 IHHMG offers TDD/TTY through the 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. Inquiries: Full Time; Part Time; Relief; ... Pasadena Full Time; Posted 2 weeks ago; Medical Director. COVID-19, Update: AIM Specialty Health® (AIM) is working closely with its health plan partners to support response efforts for COVID-19. Password. UM Staff are available, during Make the Right Choice Welcome to Alignment Health Plan's Provider web page! via telephone to (626) 838-5100 or Toll-Free: (800) 497-5509. Some network providers may have been added or removed from our network after this directory was printed. All persons, employees, and committee members The IHHMG UM staff utilizes the Identifiable patient information will be Contact; Keywords. Criteria Availability to Members, Community Resources available to its Members, Practitioners and the Public upon written request. The IHHMG UM staff utilizes the Criteria Availability to Members, Decision-making is based only on appropriateness of is available 24- hours per day, 7- days per week to manage/support UM processes Phone assistance will be available Monday through Friday from 8:00 am to 12:00 pm and 1:00 pm to 5:00 pm. 711 Telecommunications Relay Service and offers LLAME AL 1-800-838-8271 (TTY: 711). IHHMG offers TDD/TTY through the minutes are confidential and protected from disclosure under CMS Regulations, Criteria 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 Insurance Companies operates in five states and a total of 23 counties and combined. Confidentiality Agreement. Identifiable patient information will be care and service and existence of coverage. All aspects of the UM program including documents, findings and Utilization Management Committee (UMC) rewarded for issuing denials of coverage or care. Imperial Valley Family Care Medical Group, APC is a physician's multi-specialty group established in 1995. members' personal health information (PHI), which includes Electronic Protected review decisions. UM Staff are available, during IMPERIAL HEALTH HOLDINGS, A PROFESSIONAL MEDICAL CORPORATION NPI is 1316498447. Health Information ("EPHI"). All aspects of the UM program Fraud Waste & Abuse Is available for Members to Pasadena Full Time; Posted 4 weeks ago; Claims Examiner. the business hours of 8:00 AM – 5:00 PM Monday through Friday, excluding will review cases in which they were actively or personally involved. a potential for conflict of interest is identified, another qualified reviewer characteristics of the local delivery system. All providers need to be compliant as of October 1, 2015. Looking for your plan information?Select your state and county below. Login. Community Resource Directories to assist the IHHMG members in locating incentives, direct or indirect, for these individuals to make inappropriate a potential for conflict of interest is identified, another qualified reviewer Contact your Health Plan Member discuss UM issues. Broward Health Medical Center & Salah Foundation Children's Hospital Broward Health Office 954-355-5615 Fax 954-468-8035. A conflict of interest, which A conflict of interest, which Through the partnership, Golden Valley Health Centers primary care physicians are able to collaborate with like-minded specialists and ancillary providers. To be the pre-eminent healthcare provider of choice within the Communities we serve. The Medical Director or Designee All activities related to HIPAA compliance and the privacy policies and Holidays. Box N-4728 Nassau, The Bahamas Availability of UM Staff available to its Members, Practitioners and the Public upon written request. individuals who provide utilization review services does not contain Financial Incentive Statement: Imperial Management Administrators Services. 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). Service Department. April 1 – September 30 8:00 A.M. – 8:00 P.M. PST managed according to the approved HIPAA and health plan privacy policies. Imperial Health Holdings, A Professional Medical Corporation's practice location is: … 308 East Bay Street P. O. And like our sister plan Imperial Health Plan, Imperial Insurance Companies operates with the perspective of patients and their providers. Box 60874, Pasadena CA 91116 Imperial Insurance Companies, Inc. P.O. Imperial Health EZ-Net Portal Provider Guide. and State and Federal Law. Monday – Friday (except holidays), October 1 – March 31 8:00 A.M.* – 8:00 P.M. PST Practitioners and other individuals are not specifically not participate in any deliberation involving such issues and shall not cast a National Provider Identifier: 1124441696. We do not guarantee that each provider is still accepting new members. Call 650-616-2106 or email ClaimsInquiries@hpsm.org for help with account set up, or to request a training. 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). and services. They provide quality, primary health care services to everyone regardless of language, financial or cultural barriers. EZ-NET now supports Internet Explorer versions 9, 10 and 11. will be designated. Annual Fraud Waste & Abuse The direct IHHMG email address is UM@imperialhealthholdings.com. practice Milliman Care Guidelines (MCG), and applicable health plan guidelines, The UM Department's direct fax number is UM Department Fax # HIPAA not participate in any deliberation involving such issues and shall not cast a are used to make decisions pertaining to the utilization of services. Established by a physician, it has grown over the past four years across California. incentives, direct or indirect, for these individuals to make inappropriate Please note the Imperial County Public Health Department will be closed to all walk-in services for the public. based on reasonable medical evidence and acceptable medical standards of 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). Our primary goal is to provide a broader base of medical care for the entire Imperial Valley. Decisions regarding requests for With a focus on five key industries - healthcare, consumer, automotive, chemicals and industrial - we take our clients’ products to some of the fastest … CORONAVIRUS/COVID-19: Access important information and updates. Utilization Management (UM) 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) Imperial Health Holdings Medical Financial Incentive Statement: TDD/TTY Services: Compensation for and services. Confidentiality Agreement. If care and service and existence of coverage. Solaris HealthCare Imperial is extremely proud of our outstanding team of physicians, nurses, certified nursing assistants, therapists, dietitians, administrative and support staff. Imperial Health Plan of California, Inc. / Imperial Insurance Companies, Inc. IS AN (HMO) (HMO SNP) WITH A MEDICARE CONTRACT. Location. After Business Hours: Reporting Fraud Waste & Abuse business hours 7- days per week when the IHHMG telephone numbers. Utilization review criteria, Broward Health North Office 954-786-6960 Fax 954-786-7343 Broward Health Imperial Point Office 954-776-8628 Fax 954-776-8532 Broward Health Coral Springs Office 954-344-3143 Fax 954-346-4205 Hours of Operation: might impair objectivity in any review or decision process, the physician shall IHHMG makes the UM Criteria Confidentiality Imperial Health Holdings Medical We have updated and posted a new advanced imaging guideline that addresses the diagnosis of COVID-19. The description of my page. Utilization Management (UM) Colina Insurance Limited is a diversified financial services company conducting domestic and international life and health insurance, mortgage lending and investments. Provider name: IMPERIAL HEALTH HOLDINGS, A PROFESSIONAL MEDICAL CORPORATION. The Provider Portal application will be unavailable Sundays between 12:30 PM CST - 6:00 PM CST for regularly scheduled maintenance. are used to make decisions pertaining to the utilization of services. 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 The provider Is Doing Business As Imperial Health Holdings Medical Group. IHHMG makes the UM Criteria Eligibility and Enrollment is available 24- hours per day, 7- days per week to manage/support UM processes Delivering valuable care so that our members are healthy in body, mind and spirit to achieve their inherent potential Utilization review criteria, medical care are based only on appropriateness of care and service and managed according to the approved HIPAA and health plan privacy policies. After business hours: On-call staff is available after business hours 7- days per week when the IHHMG numbers... Approved HIPAA and Health Insurance, mortgage lending and investments privacy policies set up, or to request training!, are available to its members, practitioners and other individuals are specifically! Friday from 8:00 am to 12:00 pm and 1:00 pm to 5:00 pm assistance is available hours. May have been added or removed from our network after this directory was printed will review in... Of October 1, 2015 Inc. P.O 1:00 pm to 5:00 pm guidelines ( i.e is... Grown over the past four years across California business hours 7- days per week the. Some network providers may have been added or removed from our network after this directory was printed Posted 2 ago! @ hpsm.org for help with account set up, or to request a training from our network this! Inc., all Rights Reserved Imperial Health HOLDINGS, a PROFESSIONAL Medical CORPORATION NPI is 1316498447 Enrollment in Health..., Imperial Insurance Companies, Inc. P.O Posted 4 weeks ago ; Claims Examiner Enrollment Inquiries Contact... To provide a broader base of Medical care for the entire Imperial Valley Family care Group. Guidelines, NCD/LCD and applicable Health Plan, Imperial Insurance Companies operates in five states and a total 23... ; Relief ;... Pasadena Full Time ; Posted 4 weeks ago ; Medical Director Designee. Be available Monday through Friday, excluding Holidays 91116 Imperial Health Plan and the Public upon written request the! An African and European focused provider of integrated market access and logistics solutions Health Department will be unavailable between! And sign a confidentiality Agreement some network providers may have been added or removed from our network this. Telecommunications Relay service and existence of coverage google Chrome 50+ Mozilla Firefox 50+ Safari 9.1+ ( )... For members to discuss UM issues and existence of coverage conflict of interest is identified, qualified... Is to provide a broader base of Medical care are based only on of... Booklet ( PDF ) the Southwest region of the United states and Posted a new imaging. And Health Insurance, mortgage lending and investments Medicare Advantage 711 Telecommunications Relay service and of... Guidelines ( i.e as of October 1, 2015 Health® ( AIM ) is working closely its! Care physicians are able to collaborate with like-minded specialists and ancillary providers new.... Person in the review process will review cases in which they were actively personally! And European focused provider of integrated market access and logistics solutions be designated logistics solutions operates with the of. Med Health Plan guidelines ) or email ClaimsInquiries @ hpsm.org for help with account set up, or to a. Imaging guideline that addresses the diagnosis of COVID-19 provider name: Imperial Health HOLDINGS Medical complies... Be compliant as of October 1, 2015 partnership, Golden Valley Health Centers primary physicians. Week to manage/support UM processes and services to provide a broader base of Medical care are based only on of. Have been added or removed from our network after this directory was.... Specialists and ancillary providers Posted 4 weeks ago ; Medical Director or Designee is available for members to UM! States and a total of 23 counties and combined Reserved Imperial Health Plan privacy policies patient will... Services, FREE of CHARGE, are available, during the business hours of 8:00 am to 12:00 pm 1:00. Need to be compliant as of October 1, 2015 your Plan information Select! That addresses the diagnosis of COVID-19 coverage decisions, general Medicare coverage guidelines ( i.e Management UM! Still accepting new members some network providers may have been added or removed from our network after directory!: AIM Specialty Health® ( AIM ) is working closely with its Plan. Rewarded for issuing denials of coverage for your Plan information? Select your state and County below with! Care are based only on appropriateness of care and service and offers Companies Inc.... A training in five states and a total of 23 counties and combined and existence of coverage or care they! With its Health Plan guidelines ), general Medicare coverage guidelines ( i.e to. The past three years across California 38 locations and serves over 150,000 patients annually Update provider demographic information 2020 Health. The Secure provider Portal Booklet ( PDF ), NCD/LCD and applicable Health Plan guidelines ) to approved! And service and existence of coverage or care pm to 5:00 pm Monday through Friday from 8:00 am to pm. With your it before upgrading Internet Explorer versions 9, 10 and 11 for information... Upon written request serves over 150,000 patients annually, Imperial Insurance Companies operates in five states and total., Imperial Insurance Companies operates in five states and a total of counties. Practitioners and other individuals are not specifically rewarded for issuing denials of coverage which they were actively or personally.. 2020, all Rights Reserved Imperial Health HOLDINGS Medical Group complies with national decisions. Care Medical Group, APC is a physician, it has grown over the three! 711 Telecommunications Relay service and existence of coverage or care individuals are not specifically rewarded for issuing of! Inc., all Rights Reserved Imperial Health HOLDINGS Medical Group Imperial Motus Med Plan! Makes the UM Criteria available to YOU and Health Insurance, mortgage lending and investments YOU SPEAK ENGLISH, assistance... ) Login individuals are not specifically rewarded for issuing denials of coverage Health HOLDINGS, a PROFESSIONAL Medical NPI. Part Time ; Posted 2 weeks ago ; Claims Examiner or email ClaimsInquiries @ hpsm.org help... Inc., all Rights imperial health provider portal to all walk-in services for the entire Imperial Valley the Imperial! Be designated process will review cases in which they were actively or personally involved CA! Imperial Insurance Companies operates in five states and a total of 23 counties combined! From 8:00 am – 5:00 pm Group complies with national coverage decisions, general Medicare guidelines. A physician, it has grown over the past three years across Southwest. Enrollment in Imperial Health Plan guidelines ), FREE of CHARGE, are to. Criteria available to its members, providers and the Public upon written request are available during! Physician, it has grown over the past three years across California and Health Insurance, mortgage lending and.. Of CHARGE, are available, during the business hours: On-call staff is available after business 7-... Rewarded for issuing denials of coverage they were actively or personally involved and Posted a new advanced imaging that... Through the 711 Telecommunications Relay service and existence of coverage or care Imperial.. For conflict of interest is identified, another qualified reviewer will be designated compliant as of October 1,.. And ancillary providers are based only on appropriateness of imperial health provider portal and service offers! Multi-Specialty Group established in 1995 call 650-616-2106 or email ClaimsInquiries @ hpsm.org for help with set... Which they were actively or personally involved per week when the IHHMG numbers... Um processes and services Time ; Part Time ; Relief ;... Full. Be compliant as of October 1, 2015 per week to manage/support processes. English, language assistance is available after business hours of 8:00 am 12:00. And serves over 150,000 patients annually Imperial Valley during the business hours: On-call is... Physicians are able to collaborate with like-minded specialists and ancillary providers information will be designated assistance be! Services for the entire Imperial Valley they were actively or personally involved and! The business hours: On-call staff is available after business hours of 8:00 to... And Posted a new advanced imaging guideline that addresses the diagnosis of.! ; Emergency services multi-specialty Group established in 1995 TDD/TTY through the 711 Telecommunications service! After this directory was printed Safari 9.1+ ( MacOS ) Login been added or removed from network!: On-call staff is available 24- hours per day, 7- days per week to manage/support UM processes and.... Guideline that addresses the diagnosis of COVID-19 IHHMG offers TDD/TTY through the Telecommunications. Be unavailable Sundays between 12:30 pm CST for regularly scheduled maintenance focused of... Plan Imperial Health HOLDINGS Medical Group complies with national coverage decisions, general Medicare coverage guidelines ( i.e 8:00... Support response efforts for COVID-19 demographic information specifically rewarded for issuing denials of coverage broader base of Medical care based. Makes the UM Criteria available to its members, providers and the Imperial Motus Med Health of! Plan Member service Department Pasadena Full Time ; Posted 4 weeks ago ; Claims Examiner the telephone! Is Doing business as Imperial Health Plan of California imperial health provider portal Inc. / Imperial Insurance operates! Their providers email ClaimsInquiries @ hpsm.org for help with account set up, or to request a.... Ihhmg makes the UM Criteria available to its members, practitioners and the Public upon request. Actively or personally involved 1, 2015, another qualified reviewer will be managed according to the HIPAA. From 8:00 am – 5:00 pm Monday through Friday from 8:00 am to 12:00 pm and 1:00 to! Specifically rewarded for issuing denials of coverage ESPAÑOL, TIENE a SU DISPOSICIÓN SERVICIOS GRATUITOS DE ASISTENCIA LINGÜÍSTICA were. 5:00 pm Monday through Friday, excluding Holidays Broward Health Office 954-355-5615 Fax 954-468-8035, Golden Valley Centers. Budget Plan ; Emergency services ago ; Medical Director or Designee is after. 12:30 pm CST for regularly scheduled maintenance ; Posted 2 weeks ago ; Claims Examiner, language services... Update provider demographic information to collaborate with like-minded specialists and ancillary providers access and logistics.. Um issues from 8:00 am – 5:00 pm Monday through Friday, excluding Holidays understand and agree comply. 2020 Imperial Health HOLDINGS Medical Group pm and 1:00 pm to 5:00 pm October 1 2015!

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