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Members/Patients

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Offices & Locations

Los Angeles County

• Bellflower (Medical, Dental & Optometry)
• Long Beach (Medical, Dental & Urgent Care)
• Long Beach - Palo Verde(Dental Only)
• Los Angeles (Medical & Dental)
• Lynwood (Dental Only)
• Sun Valley (Dental Only)
• Torrance (Medical & Dental)
• Van Nuys (Medical & Dental)
  

Orange County

• Anaheim (Medical & Dental)
• Garden Grove - Brookhurst (Medical & Dental)
• Garden Grove - Harbor (Medical & Urgent Care)
• Santa Ana (Medical, Dental & Optometry)
  

 

Riverside County

 

• Riverside (Dental Only)
  
  
• HMO California - Brand New Day

Providers

• Authorization status
• Better Communication, Better Care Provider Toolkit
• Breast & Cervical Cancer Resources
• Brand New Day Program
• Claims and Eligibility Inquiry
• Clear Claim Connection
• National Provider Identifier (NPI)
• Provider Dispute Resolution Process
• Quality Improvement Program
• Request User Name and Password
• Submitting Claims Electronically to Universal Care
• Provider ID Request
  
  
• Download Forms

IPA Forms

• Adult Risk Assesment
• Adult Medicine Charge Ticket
• Authorization for Medical Treatment (Pediatrics)
• Adult Health History (EngSpan)
• Pediatric Health Record
• Pediatric History Form
• Pediatric Growth Chart Boys 0-36mos Head Circumference
• Pediatric Growth Chart Boys 0-36mos Length for Age
• Pediatric Growth Chart Boys Weight for Stature Percentile
• Pediatric Growth Chart Boys 2-20yrs Body Mass Index
• Pediatric Growth Chart Boys 2-20yrs Stature for Age
• Pediatric Growth Chart Girls Weight for Stature Percent
• Pediatric Growth Chart Girls 0-36mos Head Circumference
• Pediatric Growth Chart Girls 0-36mos Length for Age
• Pediatric Growth Chart Girls 2-20yrs Stature for Age
• Pediatric Growth Chart Girls 2-20yrs Body Mass Index
• Pediatric Progress Note
• Pediatric Risk Assessment
• Pediatric Physical Exam
• Primary Care Progress Record
• Patient Registration Form
• TB Skin Test Screening
  
  
• 2004 Childhood and Adolescent Immunization Schedule
  
• Postpartum Depression Screening Tool
  
  
• Drug Formulary for Medicare
  

Commercial

• Health Net
• Aetna HMO
• Blue Cross PPO
• Blue Shield HMO
• Blue Shield PPO
• CIGNA
• Great West Healthcare
• PacifiCare

 

Medicare

• Health Net - Seniority Plus
• Care 1st
• Central Health Plan
• Citizens Choice Health Plan
• HMO California
• One Care

  
  

Healthy Families

• Health Net
• Blue Cross
• Blue Shield HM0
• Care 1st
• LA Care

  
  

Medi-Cal

• Health Net - Los Angeles County
• Health Net - (CalOptima)
• Blue Cross
• Care 1st
• CHOC PHC - (CalOptima)
• LA Care

   

• Provider Directory
• Provider Manual for Medicare (Last Updated 2003)
• Staying Healthy Assessment
  
  
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