HIPPA and Verification
Time-Frames
Premium Billing
Phone Numbers
Vendor
100

OON provider (Non-Contracted Providers) calls in, we can disclose Maximum Out-of-Pocket (MOOP) / Accumulation Total.

What is: FASLE?

100

For *standard*  coverage decisions we use what time frame deadlines?

What is : 14 calendar days?


100

If a member is requesting to change their Premium Payment Option, who are we to route the CRM to?

What is:

Premium Billing department?

100

Number to Concierge service line

What is: 833-378-8252 or 833-621-8252 

100

To be eligible for the Healthy Food Benefit, members must have one of the following conditions and meet necessary eligibility requirements.

what is:

Cancer?

End-stage renal disease (ESRD) ?

Stroke ?

Chronic heart failure ?

Dementia ?

Diabetes ?

200

What Dose HIPPA stand for?

What Is: Health Insurance Portability and Accountability Act?

200

Deadline for a standard appeal 


What is : Within 30 calendar days after we receive your appeal ?


200

What is LEP

what is: Late Enrollment Penalty 

200

UCLA Hospital billing Phone Number

What is: 310-825-8021

300

OON provider (Non-Contracted Providers) calls in, we can NOT disclose Members Medicare ID Number.

What is: TRUE?

300

Time Frame we offer callers when we need more time to review.

24-48 Hours

300

What payment options are available for premiums?

What is:

  1. Mail check to this address NCHP Premiums, P.O. Box 745123, Los Angeles, CA 90074-5123
  2.  Automatic deduction from your bank account or other financial institution.
  3.  Pay online or through the MyChart app using your designated debit or credit card.
  4. Pay by phone. Call the Customer Service # at the back of your card. 
  5. Have your premium withheld from your SSA benefit check.
300

TTY Relay Phone Number

What is: (800-735-2929) or (711)


400

What are my privacy rights as a Medicare Advantage member under HIPPA?

What is: 

Access to Your Information:

Correction of Information

 Knowledge of Information Sharing

400

 When can you end your membership in our plan

What is: You can end your membership during the Annual Enrollment Period (Oct 15 to Dec 7)

400

Enrollment Fax Phone Number


What is: (424) 320-8515


500

is Disclosing (Maximum Out-of-Pocket (MOOP) / Accumulation Total is allowed for OON providers

What is: FALSE?

Note* MOOP does not apply to OON services

500

When is Open Enrollment?

What is: Oct 15 to Dec 7


500

What are the Lockbox addresses to send a physical payment to?

What is:

NCHP Provider Payments

P.O. Box 745125

Los Angeles, CA 90074-5125?

&

NCHP Premiums

P.O. Box 745123

Los Angeles, CA 90074-5123?


500

Utilization Management Phone Number

What is: (424) 234-7698 

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