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Community Health Group | Service Authorization Request Service Authorization RequestProcess for reviewing requests received by Healthcare services for Medi-Cal and Mental Health Services CHG confirms you are a member CHG reviews the request to see if it needs an approval Items listed below don’t need an approval Emergency care Urgent care Services labelled as “sensitive” and or “freedom of choice” by the Medi-Cal program These
chgsd. com - Find a Provider or Report Inaccuracies Some hospitals and other providers do not provide one or more of the following services that may be covered under your plan contract and that you or your family member might need: family planning; contraceptive services, including emergency contraception; sterilization, including tubal ligation at the time of labor and delivery; infertility treatments; or abortion You should obtain more
Community Health Group | Submit a Claim How to submit a claim Thank you for taking care of Community Health Group members To ensure timely processing and payment of claims, we encourage you to submit claims via EDI using one of the clearinghouses below Both contracted and non-contracted providers may submit claims to Community Health Group via EDI
Community Health Group | Member Services Have questions about your benefits? Contact us for personal assistance with your Medi-Cal or CommuniCare Advantage plan benefits or if you have concerns about either health plan: Medi-Cal: 1-800-224-7766 CommuniCare Advantage (HMO SNP) (HMO D-SNP): 1-888-244-4430 Community y Más (HMO SNP) (HMO C-SNP): 1-800-232-3133 TTY: 1-855-266-4584 Our Member Services team is available 24-hours a day
Community Health Group | About CHG About Community Health GroupThe Community is What Counts Community Health Group is a non-profit health plan operating in San Diego County We have been providing health care services to San Diego County’s growing and diverse population since 1982 We currently serve more than 387,208 members Our plan members have a wide network of healthcare practitioners, hospitals and ancillary
Community Health Group | More Provider Resources Provider Resource ListChief Medical Officer Medical Director CHG's Chief Medical Officer Medical Director is Dr Alan J Conrad, MD, MMM, CPE, FACHE, FAAPL Additional Provider Resources
Community Health Group | CommuniCare Advantage CommuniCare Advantage (HMO D-SNP) A comprehensive plan that combines your Medicare and Medi-Cal benefits into ONE plan Better yet, CommuniCare Advantage has added benefits at no extra cost to you