1 (866) 682-4842, HealthJust Now WebFind a Provider Sequoia Find a provider Select your health plan carrier below to find a provider for your medical, dental, or vision needs. Some issues simply can't wait until your primary care doctor can see you, but many medical situations do not require an emergency room visit, or the associated wait time and expense. Conifer Health Solutions Allergic reactions to food, animal or bug bites. Categories Medical Providers Sequoia Health and Wellness Centers. Claims Services (209) 454-1468 or toll free (844) 896-1039 Care Management (209) 748-4295 Paper Claims to. Sequoia Health Attention: Claims PO Box 70029, Anaheim, CA 92825. PDR Submissions. Sequoia Health, Attn: PDR, PO Box 70030, Anaheim, CA 92825 Sequoia Health is proud to cover visits at urgent care centers conveniently located throughout the greater Central Valley area. Contact Us. We put useful data, insights, and guidance at your fingertips so Visit the websites below for more information on each IPA. Select your health plan carrier below to find a provider for your medical, dental, or vision needs. Family physicians should utilize their unique skills and expertise in care management, in management of the interface between specialists and hospitals, and in their focus on preventive health to create value. Axminster Medical Group. WebContact Sequoia. Q. Express Referral Fax Number: 1.844.272.2818 Please dont hesitate to contact us HERE with any questions you may have. WebModesto Florida Suites Prompt Care. This relationship, expertise, and training make physicians an indispensable resource in the health care system and provides them a point-of-difference in the healthcare marketplace. When is it appropriate to go to emergency room (ER) instead of Urgent Care? Claims Services (209) 454-1468 or toll free (844) 896-1039 Care Management (209) 748-4295 Paper Claims to. . The authorized official of this NPI record is Jay Klaren (Sr Director, Program Dev & Planning), Sequoia Support. WebFind Sequoia Health Ipa Contact, uses, side effects, interactions, drugs information. Contact Support Our Offices San Mateo 1850 Gateway Dr, Ste 700 San Mateo, CA 94404 (650) 369-0200 Health2 hours ago WebAs of May 1, 2021, Sequoia Health will transition its MSO services to Conifer Health Solutions. Click here to find a physician near you. What problems do urgent care centers treat? Box 261040 We are a HIPAA compliant company. To check the status of authorization or claim:click here. WebFresno, Kings and Madera counties (CalViva Health) Commercial California (PDF) Direct Network HMO (including Ambetter HMO) and Point of Service (POS) Tier 1. Practitioners are ensured independence and impartiality in making referral decisions that will not influence. Encino, CA 91426. A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. WebExisting Providers. An independent physician association (IPA) is a business entity organized and owned by a network of independent physician practices for the purpose of reducing , Health4 hours ago WebFor the past two decades, Sequoia has stood out as a health benefits consultant of choice with a profound sense of service and unmatched expertise in the mechanics of , Health1 hours ago WebExisting Providers. Providers please have user name and Providers please have user name and password available when you login. These cookies will be stored in your browser only with your consent. Participating physician groups SmartCare HMO Salud HMO y Ms Access IPA Accountable Health Care IPA Advantage Health Network All Care Medical Group, Inc. Please contact Conifer Health Solutions at (818) 461 Health Net is contracted with Medicare for HMO, HMO SNP and PPO plans, and with some state Medicaid programs. See Provider Resources Page. Our Partner Health Plans NorCal See Website 888-568-3560 See Website 855-265-1557 See Website 866-931-9747 See Website 800-638-3889 See Website 855-265-1557 See Website 888-227-5942 See Website 800-872-3862 Medicare Advantage (65+) See Website 855-265-1557 See Website 855-548-0016 See Website 888-563 Care Covered is contracted with 28 Independent Physician Associations (IPA) in L.A. County. With Sequoia Health, you have access to more than 300 of the leading primary care and specialty physicians in the Greater Central Valley area. Sequoia Health physicians offer a wide range of healthcare services from pediatrics, to adult primary care, to urgent care centers and to referrals to the top specialists in the area. California Specialty Pharmacy (CSP) is a leading full-service specialty pharmacy that provides quality drugs and services to patients with specialty medication needs. For help with healthcare, wellbeing, retirement, and global services. Box 261040 Encino, CA 91426. and Centene Corporation. WebHealth Plan Administration; Employee Assistance Program; PPO Provider Network; Clinically Integrated Networks; Medical Management; Big Sky Region; Behavioral Health (1 days ago) WebSequoia offers Primary Care, OB/Gyn, Behavioral Health, and Lab Services. 1540 Florida Ave. Modesto, CA 95350 (209) 238-4800. www.gvhc.org, HealthJust Now WebContact Name Contact Address 1: Contact Address 2 Contact City: St Zip: Contact Phone Ext: Contact Fax Email Address: 1396848222 West Suburban Health Providers; , Health1 hours ago WebFresno, Kings and Madera counties (CalViva Health) Commercial California (PDF) Direct Network HMO (including Ambetter HMO) and Point of Service (POS) Tier 1. All Plans; SCAN Health Plan; Aetna; Alignment; Astiva; Health Excel Corporate Offices XiMED Medical Center Scripps Campus La Jolla 9850 Genesee Avenue, Suite 900 La Jolla, CA 92037-1205. A. 2948 0 obj <>stream Auths, Claims, Eligibility, HealthJust Now WebFCH Providers portal provides access to benefits and eligibility, status of claims and payments, payor search, provider update form, and more. Learn More 559.624.4820 202 W. Willow Ave. Suite 502 Visalia, CA 93291 Map + Directions About , Health8 hours ago WebContact Sequoia. Effective management of relationships between primary care physicians, limited specialists, and hospitals is critical to the optimal care of patients, to the success of an IPA, and to the satisfaction of physician participants. Physicians who join Sequoia Health are passionate about the opportunity to coordinate care in innovative ways which provides for higher quality and efficiency of care for their patients; Our partnership with those physicians facilitates these goals and also allows us to further expand access to primary and specialty health care services to more communities in the Central Valley. We are happy to help answer any concerns. (requires doctors signature) Get the Companion Care Referral Form HERE. In the case of life-threatening emergency, please call 9-1-1 or go to the nearest hospital emergency room. Sequoia Health brings technology-enabled operating processes, analytics, capital and physician and member engagement programs so that physicians can focus on the joy of practicing medicine and on the needs of patients. WebContracted Providers can access Cap Connect online portal to submit referrals and check the status of authorization or claim. WebSEQUOIA HEALTH IPA INC, NPI 1851821565 - Health Maintenance Organization in Corona, CA. Contracted Providers can access Cap Connect online portal to submit referrals and check the status of Corona, CA 92881. We also use third-party cookies that help us analyze and understand how you use this website. Sequoia Health affirms that it encourages appropriate utilization of medically necessary member care and discourages under-utilization of services by the following statements: 2023 Sequoia Health | Code of Conduct | Privacy Policy | Notice of Privacy Practices | Report Compliance Concerns. Click on the Get form key to open the document and begin editing. Q. All rights reserved | Email: [emailprotected], Department of health and human services budget, Native american health insurance california, Mba in healthcare administration programs. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. Clinical criteria is available upon request to providers, members and the public. Health (7 days ago) WebIf you have received information from your health plan and have questions, please contact Conifer Health Solutions by phone at (818) 461-5000. Category: Health View Health WebPlease complete and print the forms you need, then submit by fax. %PDF-1.6 % Health Care , Health9 hours ago WebDefinition. Please submit paper claims and other claim correspondence to the new address: For dates of service May 1, 2021, and forward, Conifer Health Solutions will process your claims, referrals, and all critical operational needs. Home. WebSpeak with a patient advocate or file a complaint. Working together, we focus on high quality, innovative and affordable healthcare solutions to give our clients and their patients the choice, flexibility and high standards of quality care they deserve. Providers: A new way to get more out of your people spend, Elevate your view and execution, holistically, The building blocks and lifecycle that drive it, The modern operating system required to connect it all, Innovative benefits for innovative companies, Sequoia.com uses cookies to deliver the best possible website experience. 2907 0 obj <> endobj HCLA Advantage; WebL.A. Contracted Providers can access Cap Connect online portal to submit referrals and check the status of authorization or claim. For dates of service May 1, 2021, and forward, Conifer Health Solutions will process your claims, referrals, and all critical operational needs. Global Care IPA. 2023 Sequoia Health | Code of Conduct | Privacy Policy | Notice of Privacy Practices | Report Compliance Concerns. With Sequoia Health, you have access to more than 300 of the leading primary care and specialty physicians in the Greater Central Valley area. Javascript is currently disabled in your browser. This site is for use by Providers who are authorized to use this system. for Claims, Auths, and Portal Support. See Provider Resources Page. Implementation of this simple step will expedite authorization processes and meet appointment demands and increase your patient satisfaction. Book an Appointment To This category only includes cookies that ensures basic functionalities and security features of the website. Providers should refer to the member's Evidence of Coverage (EOC) or Certificate of Insurance (COI) to determine exclusions, limitations and benefit maximums that may apply to a particular procedure, medication, service, or supply. Office Ally Payer ID: CAPMN Home. But opting out of some of these cookies may have an effect on your browsing experience. Before heading to the ER, you may want to consider urgent care centers. Who can use affiliated urgent care centers? For dates of service May 1, 2021, and forward, Conifer Health Solutions will , Health6 hours ago WebWhether you are a primary care physician, specialist or allied healthcare provider, we are committed to providing our physician partners with the resources and support necessary , Health7 hours ago WebWhere is SEQUOIA HEALTH IPA INC located? Past month, Health3 hours ago WebAs of May 1, 2021, Sequoia Health will transition its MSO services to Conifer Health Solutions. Urgent care centers are staff with family doctors and pediatricians. An IPA must be able to demonstrate their incremental value to obtain contracts with health plans and other payers for covered lives. Health 8 hours ago Web Sequoia Login Can't Log In? WebFind a Provider Sequoia Find a provider Select your health plan carrier below to find a provider for your medical, dental, or vision needs. WebContact Support Our Offices San Mateo 1850 Gateway Dr, Ste 700 San Mateo, CA 94404 (650) 369-0200 San Francisco Opening Soon (650) 369-0200 New York 158 W. 27th St., For electronic claims, please use the Office Ally Payor ID: CAPMN Health Care Sequoia Health does not specifically reward practitioners or other individuals for issuing denials of coverage or service care. Financial incentives for UM decision makers do not encourage decisions that result in under-utilization. 1121 Hammond Street Modesto, CA 95351 (209) 576-4437. Past Week We are happy to help answer any Npiprofile.com 127 West El Portal Dr. Suite B Merced, CA 95348, 1405 California Ave. Dos Palos, CA 93620, 250 Northgate Drive Suite 102 Manteca, CA 95336, 9235 West Broadway Ave. Planada, CA 95365, 2023 Sequoia Health | Code of Conduct | Privacy Policy | Notice of Privacy Practices | Report Compliance Concerns, Golden Valley Health Centers Merced Womens Health, Golden Valley Health Centers Merced Prompt Care, Golden Valley Health Centers OBanion Center, Golden Valley Health Centers Merced North, Golden Valley Health Center Modesto Florida North, Golden Valley Health Center Modesto Corner of Hope, Golden Valley Health Center - Modesto Florida Suites, Golden Valley Health Center - Modesto Hanshaw School, Golden Valley Health Center- Modesto Robertson Road, Golden Valley Health Center- Modesto Tenaya, Golden Valley Health Center Modesto West, Golden Valley Health Center Modesto Womens Health, Golden Valley Health Center - Ceres - East, Golden Valley Health Center - Ceres-3rd Street. 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