Medi-cal Coverage
Is GAC covered under Anthem Blue Cross of CA?
Is authorization required for Community Health Center Network - Alameda Alliance for Health?
Authorization required as PPMM is non contracted provider
What is covered under GAC with United Health Care?
OV and LABs (lab corp or quest)
What authorization is required for UHC?
nothing
Is GAC covered under Conifer Health Solutions with Santa Clara Family Health plan?
NOT covered
Is authorization required for Physician Medical Group of SJ with SCFHP?
Requires PCP referral
what is covered under Aetna PPO?
OV and LABS
What authorization is required for Blue Shield of CA?
no authorization
Is GAC covered under Health Plan of San Mateo?
REQUIRES AUTHORIZATION at MV!
Covered at RWC, SSF & SM with no authorization.
Is authorization required for SCFHP?
No authorization required!!!
What is covered under Valley Health Plan (commercial)?
everything is covered!
What authorization is required for Blue Cross Blue Shield OUT OF STATE plans?
Nothing
Is GAC covered with Valley Health Plan w/ SCFHP?
COVERED!
Is authorization required for Health Plan of San Mateo at MV?
REQUIRE AUTHORIZATION
rwc, sm & ssf with no authorization
What is covered under anthem blue cross ppo?
OV and Labs
WHERE can I find all this information?
Billing sharepoint page!
Is GAC covered under Kaiser Medical group?
NOT Covered. Refer patient back to their KAISER PCP
Is authorization required for VHP with SCFHP?
No authorization required.
What is covered under Prominence Health Plan?
Not relevant for SVR. This is a Neveda based plan.
What authorization is required for VHP Commercial?
Authorization required if pt assigned to SCCIPA or PMGSJ