Community Health Plan of Imperial Valley Provider Services Center
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As a prepaid health care delivery system, Community Health Plan of Imperial Valley (CHPIV) has some unique characteristics that make timely response and accurate information necessary. If prompt and accurate information is not provided, a member may misuse the program, resulting in medical services not being covered. To avoid this, CHPIV directs inquiries from providers to CHPIV's Medi-Cal Provider Services Center or to CHPIV's regional provider network administrators, where available. Members are directed to the Medi-Cal Member Services Department.
CHPIV's Medi-Cal Provider Services Center representatives are available 24 hours a day, seven days a week, to assist providers with:
- Member eligibility, effective dates and eligibility research.
- Primary care physician (PCP) selection and transfer requests for members.
- Questions about the Medi-Cal Rx Contract Drug List (CDL).
- Benefit information.
- Professional and hospital billing.
- Claims.
- Questions regarding claims status.
- Exceptions and administrative decisions.
- Complaints and grievances regarding provider care, delivery of care, or participating physician group (PPG) staff.
- Requests for removal of members or with disciplinary actions.
The CHPIV’s Medi-Cal Provider Services Center toll-free phone number is printed on the back of the member's identification card. It is the responsibility of the servicing provider to confirm eligibility at the time of service.
21281 Burbank Boulevard, C-5 Woodland Hills, CA 91367 833-236-4141
Eligibility and claims status available online.
Email addresses:
Eligibility and billing inquiries: HNMedi-cal.Eligiblity@healthnet.com