All Humboldt IPA health plan members are eligible for enrollment into Care Management as part of their benefit plan. The Humboldt IPA’s care management services help members navigate the health system and develop life skills for healthy living.The role of the care manager is to assist members with complex or multiple conditions obtain access to … Continue reading “CARE MANAGEMENT PROGRAMS”
Submit an Authorization Request Utilization Management decision making is based only on appropriateness of care and service and existence of coverage. The Humboldt IPA does not specifically reward practitioners or other individuals for issuing denials of coverage or services. The Humboldt IPA does not offer financial incentives to UM decision makers that encourage decisions … Continue reading “AUTHORIZATIONS”
We have switched to a new system. Instructions for using the new provider portal can be found here. Submit Claims or Check Claims Status For more detailed information about submitting claims, settlement practices, and dispute resolutions click here. Electronic Claims Submission The Humboldt IPA accepts claims through the following clearinghouse: Office Ally http://www.officeally.com Claims MUST … Continue reading “CLAIMS”
The Humboldt IPA is a delegated physician group including non-physician providers for HMO health plans as well as a third-party administrator for local employer PPO health plans. By credentialing with the Humboldt IPA network, you will become a participating provider for members of the following health plans: Anthem Blue Cross HMO Blue Shield HMO (except … Continue reading “MEMBERSHIP AND CREDENTIALING”
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Quality care means getting the care you need when you need it. Local primary care practices are providing the following Quality Care reports as a way to understand what the local health care system is doing to measure, safeguard and improve the quality of care. You can use the Reports to: Learn about the differences … Continue reading “Quality Care Reports”
Important information for using the Humboldt IPA site HUMBOLDT IPA MAKES NO WARRANTIES OR REPRESENTATIONS AS TO THE ACCURACY OF THE CONTENT ON THIS SITE AND HUMBOLDT IPA ASSUMES NO LIABILITY OR RESPONSIBILITY FOR ANY ERRORS OR OMISSIONS IN THE CONTENT ON THE SITE. THE HUMBOLDT IPA MATERIAL IS PROVIDED “AS IS” AND WITHOUT WARRANTY … Continue reading “Disclaimer”
This service is offered at the Priority Care Center, 2316 Harrison Avenue, Eureka. “Being able to come see my coach and discuss my goals, challenges, and motivators helped me improve my quality of life and health.” Learn more about Wellness Coaching at the Priority Care Center What is Wellness Coaching?- YouTube Health and Wellness Educational … Continue reading “WELLNESS COACHING”
Our mission is to help people move to their highest level of personal wellness through teamwork, support, education, and prevention so that ultimately we become unnecessary. Services are offered at 2316 Harrison Avenue, Eureka 707-442-0478 Services at The Priority Care Center: Intensive care coordination to assist with navigating the health care system Home, Hospital, Skilled … Continue reading “PRIORITY CARE CENTER”
