Policies Utilization Management Policy & Procedures Standing Specialist Referral Policy Humboldt IPA Quality and Medical Management Program Utilization Management and Credentialing Policy – Access To Healthcare Services Claims Settlement Practices and Dispute Resolutions Mechanism Documents Request to Restrict Use and Disclosure of Protected Health Information HIPAA Notification of Privacy Practices Member Rights and Responsibilities Forms … Continue reading “POLICIES, DOCUMENTS AND FORMS”
The following Summary of Benefits of Coverage (SBC) is made available by the health plans as a way to provide a quick reference to the benefits provided. If you have any questions about the health plan’s benefits, please contact our customer service department at 707.443.4563. Blue Lake Rancheria Summary of Benefits Coverage 2024 Blue Lake … Continue reading “PPO HEALTH PLAN SUMMARY OF BENEFITS”
This page is under construction, please check back soon to use the search function. Contracted Hospitals and Out of Area Provider Networks HMO Out of Area Network Contracted Hospitals Providence St. Joseph Hospital Providence Redwood Memorial Mad River Community Hospital Providence Queen of the Valley Providence Santa Rosa Memorial UCSF … Continue reading “PROVIDER SEARCH – FOR MEMBERS”
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Since 1995 Humboldt IPA has partnered in delivering quality health care in Humboldt County. The Humboldt IPA provides leadership in working with health plans and health care providers to ensure that medical care is provided in a manner that enhances the public health and promotes access to quality care. Fostering local accountability while providing appropriate, … Continue reading “ABOUT US”
Humboldt IPA and our partners work hard to ensure that our community is receiving the best health care possible. Following are links to a variety of health care improvement activities Humboldt IPA has partnered with others on that are benefitting our local residents. Quick Links to important information: Rx Safe Humboldt Aligning Forces … Continue reading “HEALTH CARE IMPROVEMENT ACTIVITIES”
The Humboldt IPA offers many ways for providers to become involved with local quality care initiatives and is proud to work with health care providers to improve the quality of service delivered to patients. Please contact The Humboldt IPA for more information. Quick Links to important information: QuickCap– Instructions for using the new provider portal. … Continue reading “HEALTH CARE PROVIDERS”
The World health Organization defines health as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. The Humboldt IPA offers several programs that are customized to the needs of the individual while promoting overall health and wellness.
The Humboldt IPA offers local customer service support. The Humboldt IPA’s customer service staff can answer your questions about: Finding a network provider Provider information Claims payment status Authorization requirements Health plan benefit coverage Click here for New Member Information Quick Links to important information: Provider Search – Find a health care provider contracted with … Continue reading “INDIVIDUALS / MEMBERS”
