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  • Provider Services - PIPA
    W-9 Information – Preferred IPA requires providers to submit updated W-9 forms on an annual basis Please complete the form and fax to 818-332-4298 Blue Shield of California Promise Health Plan- How to Become a CCS Provider Blue Shield of California Promise Health Plan- Lead Declination Form (English)
  • Authorizations — PIPA
    Authorizations All services not listed on the Preferred IPA Direct Referral form require prior authorization Contracted PCPs and Specialists may directly refer patients for Direct Referral services to Contracted Providers without first obtaining prior authorization from the Utilization Management Department
  • Claims — PIPA
    CMS-1500 Instructions Preferred IPA’s Claims Submission Guidelines Preferred IPA’s Provider Dispute Resolution Process Preferred IPA’s Provider Dispute Resolutions Form Preferred IPA’s Claims Payments Guidelines Preferred IPA’s Overpaid Claim Recovery Process and Payment Address Medi-Cal and Medicare Important Links
  • Welcome to Preferred IPA of California
    Founded in 1996, Preferred IPA of California has a tradition of providing quality service to its participating physicians and their patients The emergency room is an option if you require immediate care by a medical practitioner to prevent death or serious long term impairment to the member’s health
  • Contact us — PIPA
    Contact Preferred IPA for inquiries, assistance, or information regarding their healthcare services and network
  • Provider Bulletins - PIPA
    Nov - Target Case Management Specialty Mental Health Services Training Medical Records Review Guidelines for Health Plan Audits Jan - Health Net to Molina Medi-Cal Member Transition Feb - Provider Portal Update Effective 2 1 2024 Initial Consultation Referrals Jul - Provider Name Updates Health Plan Requirements
  • Access and Availability - PIPA
    The Department of Managed Health Care (DMHC) Timely Access to Non-Emergency Health Care Services regulation require Health Plans Preferred IPA to asses and report appointment availability Health Plan or Preferred IPA will conduct phone calls to provider offices via contracted vendor to conduct annual Timeliness Access survey Please ensure all provider office staff and third party answering
  • Patient Resources - PIPA
    All services not listed on the Preferred IPA Direct Referral form require prior authorization Contracted PCPs and Specialists may directly refer patients for Direct Referral services to Contracted Providers without first obtaining prior authorization from the Utilization Management Department
  • Encounter Claims - PIPA
    Encounter Claims Data is defined as medical information submitted by health care providers (physicians, hospitals, Ancillaries, etc ) which documents both the clinical conditions, services and items delivered to the member to treat their conditions Preferred IPA is responsible for the timely gathering and processing of various encounter claims data and submitting the data to the Health Plans
  • About us — PIPA
    Founded in 1996, Preferred IPA of California has a tradition of providing quality service to its participating physicians and their patients Preferred IPA has grown into one of Southern California’s largest managed care networks – contracting with more than 1,000 physicians and managing delivery of health care to over 360,000 members throughout Los Angeles County





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