Regal medical group contact
[PDF File]Contact list Medical Groups 201504
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Escalated Contact Barbara Caudill VP Medical Management (909) 380-7137 bcaudill@regalmed.com Escalated Contact Beth Gibbons SVP Clinical Services (626) 646-2710 bgibbons@regalmed.com Escalated Contact Sarada Mylavarapu, MD Medical Director (714) 539-3100, ext 1215 smylavarapu@adoc.us Affiliate Doctors of Orange County (ADOC) Regal Medical Group
[PDF File]Pre-Authorization Request Form Online - Lakeside MRI
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Most recent contact wihith phiihysician. Date: _____ Type: _____ (please indicate office visit, hospital visit, telephone with nurse, telephone with physician, etc.) 2. Has the patient suffered recent injury or trauma? (If yes, indicate date of injury) ... Pre-Authorization_Request_Form_Online.pptx
[PDF File]UnitedHealthcare Alliance Participating Physician Groups
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Regal Medical Group Glendale Physicians Association 023187 Regal Medical Group Long Beach 017552 Regal Medical Group Los Angeles 014163 ... FOR MORE INFORMATION, PLEASE CONTACT YOUR UNITEDHEALTHCARE REPRESENTATIVE. Group Name DEC # ORANGE COUNTY ADOC Fountain Valley 025400 ADOC Los Alamitos 025401
[PDF File]PRESCRIPTION DRUG PRIOR AUTHORIZATION OR STEP ... - …
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Please fill out all applicable sections on both pages completely and legibly . Attach any additional documentation that is important for the review, e.g. chart notes or lab data, to support the prior authorization or step therapy exception request.
CalOptima Provider Reference Contact List
Provider Quick Reference Guide Contact List. CalOptima Departments. Department Phone Fax. Provider Resource Line (714) 246-8600. Care Coordination & Prior Authorization ... HPN- Regal Medical Group (HMO) (800) 747-2362. Kaiser Permanente (HMO) (800) 464-4000. Monarch Family Healthcare (888) 656-7523. Noble Mid-Orange County (SRG)
[PDF File]CLAIMS SUBMISSION ALERT! - Regal Medical Group
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CLAIMS SUBMISSION ALERT! IICCDD--1100 SSttaarrttss June 1, 2015 OOcctt 11,, 22001155 . ... You may also contact your Provider Network Manager. Thank you, Regal Medical Group, Inc. Lakeside Community Healthcare . ADOC Medical Group . ICD-10 V6
[PDF File]Urgent Care Index Group Links
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California Medical Group and Urgent Care Information IPA/PMG Name Link Access MG Contact member services on back of Member ID card Access Santa Monica IPA Contact member services on …
[PDF File]Cal MediConnect Contracted IPAs and Medical Groups
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Global Care IPA Health Care LA HealthCare Partners High Desert Medical Group Lakeside Medical Group Omnicare Medical Group Physicians Healthways Pioneer Provider Network, A Medical Group Inc. Preferred IPA of California Prospect Medical Group, Inc. Regal Medical Group Seoul Medical Group Sierra Medical Group South Atlantic Medical Group St ...
[PDF File]Regal Medical Group (RMG)
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Officer at Regal Medical Group, 8510 Balboa Boulevard, Suite 150, Northridge, CA 91325, (866) 654-3471, Attention: Compliance Officer • You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter …
[PDF File]PROVIDER DISPUTE RESOLUTION REQUEST - Vantage …
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PROVIDER DISPUTE RESOLUTION REQUEST. INSTRUCTIONS • Please complete the below form. Fields with an asterisk ( * ) are required. • Be specific when completing the DESCRIPTION OF DISPUTE and EXPECTED OUTCOME.
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