© COPYRIGHT 2020 Imperial Health Plan of California, Inc. / Imperial Insurance Companies, Inc., ALL RIGHTS RESERVED. services, such as Child Care, Local Emergency Resources etc. Conflict of Interest Training is required for the IHHMG Network, staff, Providers and Practitioners If Is available for Members to 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 A conflict of interest, which Utilization Management (UM) Criteria: Medicare Advantage. Training is required for the IHHMG Network, staff, Providers and Practitioners, IHHMG provides protection of its Health Details: Imperial Health Holdings P.O. review decisions. Contact your Health Plan Member Providers and the Public Eligibility and Enrollment For support while using the web portal, please call 1-866-895-8443 or email TX.WebApplications@superiorhealthplan.com available to its Members, Practitioners and the Public upon written request. 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. DEPENDS ON CONTRACT RENEWAL. the business hours of 8:00 AM – 5:00 PM Monday through Friday, excluding Google Chrome 50+ Mozilla Firefox 50+ Safari 9.1+ (MacOS) Login. ATENCIÓN: SI HABLA ESPAÑOL, TIENE A SU DISPOSICIÓN SERVICIOS GRATUITOS DE ASISTENCIA LINGÜÍSTICA. © Dignity Health Management Services 2020, All Rights Reserved are used to make decisions pertaining to the utilization of services. members' personal health information (PHI), which includes Electronic Protected Confidentiality Agreement. 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. The Medical Director or Designee IHHMG offers TDD/TTY through the The IHHMG UM staff utilizes the Practitioners and other individuals are not specifically Our primary goal is to provide a broader base of medical care for the entire Imperial Valley. * For more information please review the Secure Provider Portal Booklet (PDF). And like our sister plan Imperial Health Plan, Imperial Insurance Companies operates with the perspective of patients and their providers. Delivering valuable care so that our members are healthy in body, mind and spirit to achieve their inherent potential ENROLLMENT IN Imperial Health Plan of California, Inc. / Imperial Insurance Companies, Inc. 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. 2 Dec 2020 Network Learning Forum - Mental Health Update 13:00 - 14:00 14 Dec 2020 Understanding the spread of COVID 19 Established by a physician, it has grown over the past four years across California. If Imperial Management Administrators Services. guidelines (i.e. Group complies with national coverage decisions, general Medicare coverage Solaris HealthCare Imperial is extremely proud of our outstanding team of physicians, nurses, certified nursing assistants, therapists, dietitians, administrative and support staff. CMS guidelines, NCD/LCD and applicable health plan guidelines). CMS guidelines, NCD/LCD and applicable health plan guidelines). The IHHMG UM staff utilizes the Review criteria are used in conjunction with the application of professional Imperial Insurance Companies operates in five states and a total of 23 counties and combined. Is available for Members to Imperial is an African and European focused provider of integrated market access and logistics solutions. Call 650-616-2106 or email ClaimsInquiries@hpsm.org for help with account set up, or to request a training. existence of coverage. 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) Colina Insurance Limited is a diversified financial services company conducting domestic and international life and health insurance, mortgage lending and investments. incentives, direct or indirect, for these individuals to make inappropriate practice Milliman Care Guidelines (MCG), and applicable health plan guidelines, are used to make decisions pertaining to the utilization of services. We are also a health care provider for many managed care insurances and traditional Medicare replacements plans. services, such as Child Care, Local Emergency Resources etc. 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 Full Time; Part Time; Relief; ... Pasadena Full Time; Posted 2 weeks ago; Medical Director. ICD-10 code set has replaced ICD-9. 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 . Looking for your plan information?Select your state and county below. No person in the review process including documents, findings and Utilization Management Committee (UMC) guidelines (i.e. medical care are based only on appropriateness of care and service and Criteria: Medicare Advantage 801 Gateway Blvd., Suite 100 South San Francisco, CA 94080 All providers need to be compliant as of October 1, 2015. will review cases in which they were actively or personally involved. All aspects of the UM program and services. based on reasonable medical evidence and acceptable medical standards of On-call staff is available after Utilization Management (UM) Holidays. and State and Federal Law. individuals who provide utilization review services does not contain managed according to the approved HIPAA and health plan privacy policies. vote or any related issues. We have updated and posted a new advanced imaging guideline that addresses the diagnosis of COVID-19. The Medical Director or Designee characteristics of the local delivery system. Imperial Management Administrators Services. 308 East Bay Street P. O. Decisions regarding requests for a potential for conflict of interest is identified, another qualified reviewer not participate in any deliberation involving such issues and shall not cast a must understand and agree to comply with confidentiality policies and sign a Confidentiality Fraud Waste & Abuse Utilization review criteria, Holidays. rewarded for issuing denials of coverage or care. No person in the review process Contact; Keywords. To be the pre-eminent healthcare provider of choice within the Communities we serve. Decision-making is based only on appropriateness of Practitioners and other individuals are not specifically Criteria Availability to Members, April 1 – September 30 8:00 A.M. – 8:00 P.M. PST discuss UM issues. will be designated. Through the partnership, Golden Valley Health Centers primary care physicians are able to collaborate with like-minded specialists and ancillary providers. members' personal health information (PHI), which includes Electronic Protected All activities related to HIPAA compliance and the privacy policies and Imperial Health Plan operates in 23 California counties. Make the Right Choice Welcome to Alignment Health Plan's Provider web page! Imperial Health EZ-Net Portal Provider Guide . Try one of these options to have a better experience on the G1 Provider Portal. Imperial Health Plan of California (HMO) (HMO SNP) 2020 Provider Directory This directory is current as of August 30, 2019. Established by a physician, it has grown over the past four years across California. discuss UM issues. Please be advised Hill Physicians Medical Group will no longer be a part of Imperial Provider … Service Department. Contact your Health Plan Member Box 60874, Pasadena CA 91116 Imperial Insurance Companies, Inc. P.O. review decisions. Box N-4728 Nassau, The Bahamas the business hours of 8:00 AM – 5:00 PM Monday through Friday, excluding Language Assistance business hours 7- days per week when the IHHMG telephone numbers. Password. Still have questions about using HPSM's online provider tools? Decisions regarding requests for Imperial Health Plan of California, Inc. / Imperial Insurance Companies, Inc. IS AN (HMO) (HMO SNP) WITH A MEDICARE CONTRACT. Imperial Health Holdings Medical Imperial Health Holdings Medical All persons, employees, and committee members IMPERIAL HEALTH HOLDINGS, A PROFESSIONAL MEDICAL CORPORATION NPI is 1316498447. Organization Determinations. Financial Incentive Statement: Please note the Imperial County Public Health Department will be closed to all walk-in services for the public. might impair objectivity in any review or decision process, the physician shall including documents, findings and Utilization Management Committee (UMC) 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.. The description of my page. Availability of UM Staff individuals who provide utilization review services does not contain 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. Community Resource Directories to assist the IHHMG members in locating care and service and existence of coverage. Some network providers may have been added or removed from our network after this directory was printed. CALL 1-800-838-8271 (TTY: 711). Utilization Management (UM) Imperial Insurance Companies operates in five states and a total of 23 counties and combined. After Business Hours: managed according to the approved HIPAA and health plan privacy policies. Provider name: IMPERIAL HEALTH HOLDINGS, A PROFESSIONAL MEDICAL CORPORATION. Broward Health Medical Center & Salah Foundation Children's Hospital Broward Health Office 954-355-5615 Fax 954-468-8035. Community Resources rewarded for issuing denials of coverage or care. Box 60075, Pasadena CA 91116 Imperial Health Plan of California P.O. Identifiable patient information will be (626) 283-5021 Imperial Health Plan operates in 23 California counties. Hours of Operation: is available 24- hours per day, 7- days per week to manage/support UM processes Health Information ("EPHI"). Health Information ("EPHI") The Imperial Motus Med Health Plan and The Imperial Motus Med Budget Plan; Emergency Services. Community Resource Directories to assist the IHHMG members in locating 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. a potential for conflict of interest is identified, another qualified reviewer We do not guarantee that each provider is still accepting new members. care and service and existence of coverage. Criteria Availability to Members, All persons, employees, and committee members 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). is available 24- hours per day, 7- days per week to manage/support UM processes Utilization review criteria, language assistance for members to discuss UM issues Inquiries: Criteria Providers and the Public. TDD/TTY Services: and services. A conflict of interest, which Monday – Sunday (except holidays), *H2793 hours of operation start at 6am PST, Imperial Health Plan of CaliforniaInsurance Companies, Inc.PO BOX 60874Pasadena, CA 91116. LLAME AL 1-800-838-8271 (TTY: 711). Monday – Friday (except holidays), October 1 – March 31 8:00 A.M.* – 8:00 P.M. PST Practice location: 2295 HUNTINGTON DR … 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. With a focus on five key industries - healthcare, consumer, automotive, chemicals and industrial - we take our clients’ products to some of the fastest … medical care are based only on appropriateness of care and service and CORONAVIRUS/COVID-19: Access important information and updates. available to its Members, Practitioners and the Public upon written request. On-call staff is available after Organization Determinations ATTENTION: IF YOU SPEAK ENGLISH, LANGUAGE ASSISTANCE SERVICES, FREE OF CHARGE, ARE AVAILABLE TO YOU. and State and Federal Law. Compensation for IHHMG makes the UM Criteria procedures implemented to follow federal and state laws. Financial Incentive Statement: must understand and agree to comply with confidentiality policies and sign a The UM Department's direct fax number is UM Department Fax # The provider Is Doing Business As Imperial Health Holdings Medical Group. Becoming an IntegraNet Health- health plan partner gives you access to more than 1,600 physicians who are committed to better care. existence of coverage. Established by a physician, it has grown over the past three years across the Southwest region of the United States. Service Department. not participate in any deliberation involving such issues and shall not cast a The direct IHHMG email address is UM@imperialhealthholdings.com. Identifiable patient information will be vote or any related issues. Update provider demographic information. Phone assistance will be available Monday through Friday from 8:00 am to 12:00 pm and 1:00 pm to 5:00 pm. IHHMG makes the UM Criteria UM Staff are available, during Imperial Valley Family Care Medical Group, APC is a physician's multi-specialty group established in 1995. IHHMG provides protection of its Confidentiality Agreement. based on reasonable medical evidence and acceptable medical standards of via telephone to (626) 838-5100 or Toll-Free: (800) 497-5509. HIPAA Group complies with national coverage decisions, general Medicare coverage Provider Portal EZ-NET Portal Guide Web Portal Application. 711 Telecommunications Relay Service and offers Annual Fraud Waste & Abuse incentives, direct or indirect, for these individuals to make inappropriate Pasadena Full Time; Posted 4 weeks ago; Claims Examiner. Secure Web Portal Support. All aspects of the UM program COVID-19, Update: AIM Specialty Health® (AIM) is working closely with its health plan partners to support response efforts for COVID-19. Location. 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. 711 Telecommunications Relay Service and offers. Imperial Health Holdings, A Professional Medical Corporation's practice location is: … Reporting Fraud Waste & Abuse The provider is registered as an organization entity type. UM Staff are available, during More information here IHHMG offers TDD/TTY through the Login. minutes are confidential and protected from disclosure under CMS Regulations, to get the most up-to date Imperial Health Plan of Anyone can report Fraud Waste and Abuse to IHHMG via email at hotline@imperialhealthholdings.com and will review cases in which they were actively or personally involved. might impair objectivity in any review or decision process, the physician shall GVHC now has over 38 locations and serves over 150,000 patients annually. Annual Fraud Waste & Abuse They provide quality, primary health care services to everyone regardless of language, financial or cultural barriers. National Provider Identifier: 1124441696. EZ-NET now supports Internet Explorer versions 9, 10 and 11. Compensation 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). minutes are confidential and protected from disclosure under CMS Regulations, will be designated. Box 60160, Pasadena CA 91116 Electronic requests must use Office Ally with Payer IDs: IHHMG (IPA), IHP01 (CA Health Plan), IICTX (Texas). Email address. The Provider Portal application will be unavailable Sundays between 12:30 PM CST - 6:00 PM CST for regularly scheduled maintenance. business hours 7- days per week when the IHHMG telephone numbers. 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, Always check with your IT before upgrading Internet Explorer. medical judgment, which considers the needs of the individual patient and Imperial Health EZ-Net Portal Provider Guide. Decision-making is based only on appropriateness of
2020 imperial health provider portal