Phone Number: The doctors office or hospital phone number. HL7 FHIR DaVinci PDEX Payer Network (Plan-Net) Implementation Guide Version 1.0.0, HL7 FHIR DaVinci PDEX Plan-Net Profiles, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Endpoint, DaVinci PDEX Plan-Net HealthcareService profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-HealthcareService, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/HealthcareServiceCategoryCS, DaVinci PDEX Plan-Net InsurancePlan profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-InsurancePlan, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsurancePlanTypeCS, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsuranceProductTypeCS, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Location, http://terminology.hl7.org/CodeSystem/v3-RoleCode, DaVinci PDEX Plan-Net Organization profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Organization, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/OrgTypeCS, DaVinci PDEX Plan-Net OrganizationAffiliation profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-OrganizationAffiliation, DaVinci PDEX Plan-Net Practitioner profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Practitioner, DaVinci PDEX Plan-Net PractitionerRole profile. In addition, on a quarterly basis, CCHP emails a Network Update link to each provider to report any changes to the information CCHP has on file. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line San Diego Who is CenCal Health/What is a Local Health Plan? Santa Clara Alliance members must use a pharmacy that works with MedImpact. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. We can assist you with your selection for primary care provider. Select HealthcareServices providing the specified category of services. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. Mariposa You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). English We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. Tehama You are now being transferred to the CCA corporate website. Select PractitionerRoles associated with the specified specialty. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. The doctor or hospital gives CCP this information on their application when they join the health plan. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. County: The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. In those situations, CenCal Health can still get you care. [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? The FHIR server must return this data. Telephone wait time for practice/plan to answer: within 10 minutes, Telephone call back wait time practice/provider office: by the end of the next business day, Telephone call back wait time triage: within 30 minutes. A Network refers to a health care provider insurance network. SHOULD: A best practice or recommendation for the implementation. Facilities may also notify us at any time regarding changes to their accreditation status. The information reported on this Web site is based on the information provided to CCHP from the participating provider and/or verified by licensing and accrediting entities. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? Stanislaus Medical group: This information is collected from the group at the time they initially join the network. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Farsi Medi-Cal Dental Dental Portal Medi-Cal Provider Directory Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. By entering an e-mail in this field I am confirming that the e-mail provided is intended for patient communication and is regularly monitored and maintained in a manner consistent with State and Federal laws. San Mateo * Translation services available for most languages. Periodontist GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? Must contain at least 1 character from each of the following four groups: Uppercase letters Lowercase letters Numbers Special Characters May not contain your username May not be any of your last 10 passwords Please contact the Provider Services at (831) 430-5518 with any questions. Step 3a: Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. This information is subject to change without notice. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Placer Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? This certificate expires, so CCP checks it at least every 3 years. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? Found inside - Page 57. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. Continuity of Care Policy, 2023 Central California Alliance for Health | Website Feedback, Enhanced Care Management and Community Supports, Member Services Advisory Group Application, Whole Child Model Family Advisory Committee (WCMFAC), Provider Credentialing Applications and Policies, Complex Case Management and Care Coordination, Pain Management and Substance Use Resources, Interpreter Services Provider Quick Reference Guide, Interpreter Services Quality Assurance Form, Promoting Cultural and Linguistic Competency, Breastfeeding Support and Breast Pump Benefit, Prior Authorization Information Request for Injectable Drugs, Medical Nutrition Therapy Benefit Quick Reference Guide, Antidepressant Medication Management Tip Sheet, Immunizations: Adult Exploratory Measure Tip Sheet, Programmatic Measure Benchmarks & Performance Improvement, 90-Day Referral Completion Exploratory Tip Sheet, Application of Fluoride Varnish Tip Sheet, Immunizations: Children (Combo 10) Tip Sheet, Chlamydia Screening in Women Exploratory Measure Tip Sheet, Child and Adolescent Well-Care Visits Tip Sheet, Child and Adolescents BMI Assessment Tip Sheet, Well-Child Visits in the First 15 Months of Life Tip Sheet, Unhealthy Alcohol Use in Adolescents and Adults Tip Sheet, Tuberculosis (TB) Risk Assessment Exploratory Tip Sheet, Maximizing Your Value-Based Payments using CPT Category II Coding Tip Sheet, Lead Screening in Children Exploratory Measure Tip Sheet, Diabetic HbA1c Poor Control >9% Tip Sheet, Developmental Screening in the First 3 Years Tip Sheet, Controlling High Blood Pressure Exploratory Measure Tip Sheet, Best Practices for Reducing Patient No-Shows Tip Sheet, Ambulatory Care Sensitive Admissions Tip Sheet, USPSTF Recommendations for Primary Care Practice, Preventable Emergency Care Visit Diagnosis Tip Sheet, California Management Guidelines: Childhood Lead Poisoning, Standard of Care Guidelines: Childhood Lead Poisoning, Adverse Childhood Experiences (ACEs) Screening in Children and Adolescents Tip Sheet, Screening for Depression and Follow-Up Plan Tip Sheet, Initial Health Assessment Billing Code List, Chronic and Persistent Conditions Health Measures, DHCS Facility Site Review (FSR) Checklist, FSR Critical Elements: Interim Monitoring Form, DHCS Medical Record Review (MRR) Checklist, Screening for Adverse Childhood Experiences (ACEs). To select the Kaiser Permanente Medical Group as your PCP for Medi-Cal, you must have been a recent Kaiser member or meet other criteria to qualify. Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. CCHP discourages the use of family members, friends or minors to interpret or translate materials. Member Handbook This network contains both primary and specialty care providers to choose from. Select PractitionerRoles available at the specified location. Select Locations with the specified state address. For further assistance, members can contact Member Services at 1-877-661-6230 option 2 and providers can access interpreter services at 1-877-800-7423 option 4 or directly at 1-866-874-3972. Our directories are printed by county. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. You can get these documents for free in other formats, such as large print, braille, or audio. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. Verification is obtained either by contacting the accrediting agency directly or by obtaining a copy of the approval letter or report provided by the facility. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Armenian Tulare They will be able to assist you in making the best health plan choice for you. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? CCHP Medi-Cal members should contact the DHCS Medi-Cal Rx Help Line for any pharmacy questions (1-800-977-2273, TTY 1-800-430-7077). Santa Cruz CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Hospital Quality: The hospitals performance rating. Authentication is not required to access the Conformance resource. Our Provider and Pharmacy Directory make it easy to find the care you need. Location: The doctors office or hospital address. Enhanced Care Management and Community Supports, Utilization Management: Authorization and Referrals, Request Printed Copy of Provider Directory, The American Board of Medical Specialties website, linguistic access and accessibility policy, Urgent care appointments not requiring prior authorization: within 48 hours of request, Urgent care appointments requiring prior authorization: within 96 hours of request, Non-urgent appointments for primary care: within 10 business days of request, Non-urgent appointments with specialists: within 15 business days of request, Non-urgent appointments for ancillary services for the diagnosis or treatment of injury, illness or other health conditions: within 15 business days of request, First Prenatal Visit: within 14 calendar days of request, Mental Health Routine Non-Urgent: within 10 business days of request, Mental Health Routine Non-Urgent Follow-Up: within 10 business days of request, Mental Health Urgent: within 48 hours of request. Colusa Whether or not a member is assigned to the RMC or the CPN network, if specialty care is not available in their assigned network, CCHP and the assigned primary care provider (PCP) may arrange for whatever referrals, authorizations, and treatments necessary to see a specialist in a non-assigned network. View rating by specialty and compare nearby hospitals. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. Please indicate the name of your practice in the box above. GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. ccah provider directory Verification is obtained either by contacting the accrediting agency directly or by obtaining a copy of the approval letter or report provided by the facility. Tagalog The ACA has taken operating rules to a new level. InsureKidsNow Search. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Punjabi Documents will be mailed within five (5) business days of receiving request. Mandarin Full Print Version of the CBH Provider Directory (Updated 1/3/2023) Step 1: Are you looking for a provider that services adults or children/adolescents? [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? Select PractitionerRoles available at the specified organization. Please select a county As of Feb. 24, Medi-Cal Rx PA requirements reinstated for 46 Standard Therapeutic Classes, COVID-19 Therapeutics Warmline and treatment webinars, Thursday training for Adverse Childhood Experiences (ACEs) screening. Select Organizations that are part of the specified organization. Below we describe the information in the fields in the provider directory. The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. Search by Doctor Type Search by Doctor Name Search by Hospital/Facility Doctor type Primary Care Physician Specialty Select Primary Care Type Family Medicine Zip Code Distance Within 15 miles Plan Type Accepting New Patients: This provider accepts both new and existing patients. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? This is not a guarantee they will be available to accept additional patients at the time you contact them. Endodontist The Provider Directory API supports the following FHIR approved implementation guide, and supports the following profiles: The base URL for each endpoint: [The Provider Directory platform is being retooled and this link will be available soon], [The Provider Directory platform is being retooled and this link will be available soon]. The CCAH provider portal gives you the information, tools and resources you need to support the day-to-day needs of your patients and office. Cantonese. Downloadable PDF Directories Office of Licensing and Monitoring Provider Directories It should be noted that this is an all-inclusive resource directory of DHS licensed programs; however, not every provider listed is contracted with DHS to provide services to youth in placement. CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? It mandated healthcare operating rules for HIPAA claims-related electronic transactions, and CAQH CORE was named by the Secretary of Health and Human Services (HHS) as the authoring entity of these operating rules. CORE Certification A profile is a set of rules which allows a resource to be constrained, or to include extensions, so the resource can add additional attributes. Select roles where the organization is a member of the specified health insurance provider network. Contra Costa Health (CCH) has been notified by the Martinez Refining Company of planned maintenance work at its facility that will cause flaring visible from Interstate 680 and Marina Vista Ave from Friday through Monday, March 6th. Select roles where the practitioner is a member of the specified health insurance provider network. [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. We can explain what hospitals are near you. Nurse Advice Line Fresno The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Monterey [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? Santa Barbara Plumas [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? San Joaquin Select products that are owned by the specified organization. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? General Practitioner Select organizations with the specified address (matches any of the string elements of an address). Waiting time in provider office: within 45 minutes or less from the time of the patients appointment until they are taken to the exam room. Mongolian To verify the current status of a hospital visit jointcommission.org. Members are entitled to receive full and equal access to covered service including members with disabilities as required under the American with Disabilities Act of 1990 in section 504 of the Rehabilitation Act of 1973. Sonoma ASL Interpreter Available: The office can translate into American Sign Language. Tuolumne Specialty: A provider's specialty is identified when they join the health plan network. In those situations, CenCal Health can still get you care. Select Practitioners with the specified given name. Alliance members and Primary Care Providers (PCPs) may access Beacon Health Options 24 hours a day, 365 days a year via a toll-free line. Gender: A doctors sex, either Male or Female. CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. In the CCHP provider online search engine above you can search for providers that participate with CCHP's two networks consisting of over 5,000 primary care providers and specialists. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. CCHP does not verify these skills. San Francisco Senate Bill 137 requires the Alliance to solicit updated information from providers on a regular basis to ensure that the most accurate data for your practice is included in our Provider Directories. There are more protections for immigrants and their families to use public benefits. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. Trinity Alliance Care IHSS Price Transparency Tool. You are now being transferred to the CCA corporate website. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. Connecting, solving and transforming healthcare business challenges. Alliance. Operating rule development for these transactions is currently underway. Timely Access to Care: The California Department of Managed Health Care (DMHC) has regulations set forth in Title 28, Section 1300.67.2.2 for health plans to provide timely access to care for our members. Board certifications for most Doctors of Osteopathic Medicine (D.O.) MAY: An optional inclusion for the implementation; not a requirement. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? The CAQH CORE Phase III Operating Rules for EFT & ERA have been mandated by HHS and since January 2014 any provider should be asking forthe streamlined electronic transactions that can result due to these operating rules and their affiliated standards. If you are a solo practitioner, enter your name in the box above. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. Insurance Plan describes a health insurance offering comprised of a list of covered benefits (for example: the product), costs associated with those benefits (for example: the plan) and additional information about the offering, such as who it is owned and administered by, a coverage area, contact information, etc. Hospital Affiliation: This information is collected from the provider at the time they initially join the network and verified upon initial and recredentialing, quarterly through the Network Update link, and reviewed on an annual basis. Select Locations with the specified address. Search by plan name, specialty, location, or provider name. It requires CenCal Health to meet both time and distance standards based on county population density. Groups: The practice a doctor works in. Hours: When the office or hospital is open to see patients. Updates will be posted at cchealth.org. Adoption Directory In addition, on a quarterly basis, CCHP emails a Network Update link to each provider, provider group or facility to report any changes to the information CCHP has on file. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Benefits of CCAH Provider Portal This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. Calaveras Facility: CCHP updates facility information daily as changes are reported by the facility. Using read-only RESTful GET API calls (PUT and POST are not currently supported), you can create an application to access information about our providers and pharmacies. To find a pharmacy, use Medi-Cal Rx's online pharmacy directory using the link below: The Central California Alliance for Health (the Alliance) contracts with a company called MedImpact to provide pharmacy services. Name: The doctor or hospital that is part of the CCP network. Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. [parameter=value]&_include=Location:organization, GET [base]/Location? If you are a member or potential member it is important for you to understand how our two networks are organized. Sierra Mono Large healthcare providers may achieve CORE Certification. Vietnamese * If your language is not listed, please call the Telephone Service Center at 1-800-322-6384 for free translation services during a dental appointment. The FHIR server may return the data, but there is no requirement to do so. Select PractitionerRoles providing the specified service. Specialty: The area of medicine the doctor provides care to patients. Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. Ventura All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. This makes sure that Medi-Cal members have access to covered services. Medi-Cal Dental Provider Directory Search. Some doctors might have all the patients they can fit in, while still giving you the best care. Sacramento Select roles filled by the specified organization. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. . GET [base]/Location? Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. Spanish + Increase font size. Lake The Alliance FHIR server SHALL be capable of returning a HealthcareService resource using: The Alliance FHIR server SHOULD be capable of returning a HealthcareService resource using: The Alliance FHIR server SHALL be capable of supporting the following _include parameters: The Alliance FHIR server SHALL be capable of supporting the following _revinclude parameters: The Alliance FHIR server SHALL be capable of returning an InsurancePlan resource using: The Alliance FHIR server SHOULD be capable of returning an InsurancePlan resource using: The Alliance FHIR server SHALL be capable of returning a Location resource using: The Alliance FHIR server SHOULD be capable of returning an Organization resource using: The Alliance FHIR server SHALL be capable of returning an Organization resource using: The Alliance FHIR server SHALL be capable of returning an OrganizationAffiliation resource using: The Alliance FHIR server SHOULD be capable of returning an OrganizationAffiliation resource using: The Alliance FHIR server SHALL be capable of returning a Practitioner resource using: The Alliance FHIR server SHOULD be capable of returning a Practitioner resource using: The Alliance FHIR server SHALL be capable of supporting the following _revinclude parameter: The Alliance FHIR server SHALL be capable of returning a PractitionerRole resource using. Select OrganizationAffiliations associated with the specified specialty. Select insurance plans of the specified type. , California Follow-up on missed appointments: Providers are expected to review all members that do not show up for scheduled appointments and to identify those requiring follow-up, based on their medical condition. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. View Urgent Visit Access Offices in Santa Cruz County. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Alliance members and Primary Care Providers (PCPs) may access Beacon Health Options 24 hours a day, 365 days a year via a toll-free line. Sometimes CCP does not receive a notice that the information has changed. Dental Clinics Serving Medi-Cal Members. CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. Please select a specialty Alliance Care IHSS Price Transparency Tool. CCA Senior Care Options Directory by County (2023) view: Bristol, Norfolk, Plymouth Essex Franklin, Hampden, Hampshire Middlesex Suffolk Worcester CCA Senior Care Options Directory by County - Spanish (2023) view: Bristol, Norfolk, Plymouth-Spanish Essex-Spanish Franklin, Hampden, Hampshire-Spanish Middlesex-Spanish Suffolk-Spanish Click to see Board of Directors Meeting Schedule/Upcoming Agenda. We can help you understand and assist you with obtaining referrals to see specialists, explain when referrals are not needed, and help you find a specialist in your area. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. Solano ProcessLogoff - provider.portal.ccah-alliance.org + Reset font size. CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. Napa The FHIR server is recommended to return this data. Member Handbook Board Certifications: A doctor gets a certificate after completing extra training in their specialty. Providers must document this choice in the member's medical record. Sometimes, there is not a needed provider close enough. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. The online Beacon Provider Directory can be found at the link below. Then click the magenta Get Location button. You can also use the filters to search for more specific information. Search for providers using a specific location or your current location. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Prosthodontist Medi-Cal Dental Program. Learn best practices and earn CBI payments for ACE screenings at your practice. GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. [parameter=value]&_include=Organization:partof, GET [base]/Organization? CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. Los Angeles To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. These are the resources and the endpoints available with the Alliance Provider Directory API. SHALL: An absolute requirement for all implementations. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? A network is typically owned by a payer. To change your primary care provider or get detailed information about your healthcare benefits and prior authorization requirements, call our Member Services team at 866-610-2273(TTY 711). At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership.
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