Kev thov
Lub Alliance Claims Department tau cog lus los ua koj cov ntaub ntawv thov kom sai thiab raug raws li qhov ua tau.
Peb ua hauj lwm nrog DHCS (Medi-Cal thiab Electronic Data Systems) kom tswj tau cov txiaj ntsig Medi-Cal tam sim no thiab cov nyiaj pub dawb tshaj plaws.
Rau cov lus qhia txog kev them nqi tam sim no thiab hloov tshiab, thov siv lub Nqe lus thov ntawm Phau Ntawv Qhia Tus Muab Kev Pab.
Daim ntawv ceeb toom ntawm kev ua haujlwm qeeb vim muaj ntau qhov kev tsis txaus siab ntawm tus kws kho mob
Tam sim no peb tab tom ntsib ntau qhov kev tsis sib haum xeeb ntawm cov chaw muab kev pabcuam, uas tau cuam tshuam rau peb cov txheej txheem txheej txheem sijhawm. Yog li ntawd, tej zaum yuav muaj kev ncua qeeb hauv kev tshuaj xyuas thiab kev daws teeb meem ntawm kev tsis sib haum xeeb uas xa tuaj. Txhawm rau pab peb daws cov teeb meem ntawm tus kws kho mob kom sai thiab raug raws li qhov ua tau, peb thov kom koj thov tsis txhob xa cov kev tsis sib haum xeeb rau tib qhov teeb meem yog tias koj tseem tsis tau txais cov lus teb rau koj qhov kev xa tawm thawj zaug. Cov kws kho mob tuaj yeem tshawb xyuas cov xwm txheej ntawm kev lees paub qhov kev tsis sib haum xeeb los ntawm kev hu rau peb Cov Cai Hais Txog ACD ntawm (831) 430-5503. Thov xa mus rau koj daim ntawv lees paub thawj zaug rau qhov FL Case Number thaum nug txog koj rooj plaub. Kev xa cov kev tsis sib haum xeeb rau tib qhov teeb meem tuaj yeem ncua kev ua haujlwm rau txhua tus. Peb txaus siab rau koj txoj kev koom tes thiab kev koom tes hauv kev pab peb ua txhua qhov kev tsis sib haum xeeb raws sijhawm.
Alliance muab kev pab txhawb kom siv cov Tus kws kho mob Portal rau cov lus nug txog kev thov nyiaj pab. Yog tias koj muaj lus nug txog TotalCare (HMO D-SNP), thov saib dua Ntu Cov Lus Nug Txog Kev Them Nqi Tag Nrho ntawm nplooj ntawv no. Yog tias muaj lus nug ntxiv, hu rau Claims Department hnub Monday - Friday, 8:30 sawv ntxov txog 4:30 tsaus ntuj (kaw 11:30 sawv ntxov txog 12:30 tav su rau pluas su).
Xov tooj:
- 831-430-5503
- 800-700-3874, ext. 5503 ces Xaiv 1 rau Medi-Cal/IHSS, Xaiv 2 rau Kev Noj Qab Haus Huv Tus Cwj Pwm lossis Xaiv 3 rau TotalCare.
Thaum hu rau cov lus nug ntawm kev thov, thov kom muaj cov ntaub ntawv hauv qab no:
- Alliance Claims Control Number (CCN) thiab/lossis tus tswvcuab tus lej Alliance ID (yog tias qhov kev nug yog hais txog tus menyuam yug tshiab uas tau them nqi raws li niam tus lej ID, thov qhia qhov no thaum pib hu).
- Hnub ua haujlwm.
- Dollar tus nqi them.
- Hnub thov raug xa mus rau Alliance.
- Provider NPI.
Cov ntawv thov yuav tsum xa mus rau Alliance siv cov chaw nyob hauv qab no.
Kev thov Medi-Cal (xws li Medi-Cal cov tswv cuab nrog CCS tsim nyog)
ATTN: CLAIM
Central California Alliance for Health
PO Box 660015
Scotts Valley, CA 95067-0015
Cov Kev Pab Txhawb Nqa Hauv Tsev (IHSS) lossis Cov Kev Thov Nyiaj Pab Tag Nrho
ATTN: CLAIM
Central California Alliance for Health
1600 Green Hills Road, Suite 101
Scotts Valley, CA 95066, Tebchaws Asmeskas
Yog tias koj xav xa daim ntawv thov hluav taws xob, ua kom tiav EDI Daim Ntawv Thov Kev Sau Npe. Hu rau Pab Pawg Txhawb Nqa EDI yog xav paub ntxiv.
- EDI Daim Ntawv Thov Kev Sau Npe
- EDI Cov Lus Qhia Txog Daim Ntawv Sau Npe
- EDI Companion Guide - Kev qhia ua lag luam
- EDI Companion Guide - 837/835 Trading Partner Information
- EDI Companion Guide - 276/277 Cov Lus Qhia
- EDI Companion Guide - 270/271 Cov Lus Qhia
- Realtime Transaction EDI System Password Reset
Lus Cim: Lub Alliance lub SFTP server yuav offline rau hnub Saturday thib ob ntawm txhua lub hlis txij 2 txog 5 teev tsaus ntuj. Lub sijhawm no, cov neeg koom tes ua lag luam yuav tsis tuaj yeem xa cov ntaub ntawv EDI lossis rub tawm cov ntaub ntawv lees paub.
Cov peev txheej kom paub koj zoo dua nrog Cov Lus Qhia Txog Kev Them Nyiaj (RA) tsim los ntawm Alliance tus khub CHC/ECHO.
Tsis lees paub: Lub Alliance tsis koom nrog cov koom haum sab nraud uas tau teev tseg hauv qab no. Cov ntaub ntawv ntawm nplooj ntawv no yog khaws cia los ntawm cov chaw sab nraud thiab Alliance tsis muaj lub luag haujlwm rau lawv cov ntsiab lus.
- Nrhiav-A-Code
Kev tshawb nrhiav yooj yim rau cov lej them nqi kho mob thiab kev kho mob hauv online. Cov lej tam sim no, cov ntaub ntawv muaj tseeb ntawm ICD-9 (ICD-9-CM thiab ICD-9-PCS), ICD-10-CM/PCS, CPT(R), HCPCS, PQRI thiab lwm cov lej sau nqi thiab cov lej teev. Muaj kev sim dawb. - ICD-10 Code Nrhiav
Daim ntawv qhia cov cuab yeej raws li General Equivalency Mapping cov ntaub ntawv luam tawm los ntawm CMS. Thov nco ntsoov tias cov cuab yeej no tsis tau lees paub qhov tseeb ntawm kev kho mob, thiab kev soj ntsuam kuaj mob yuav tsum tau txiav txim siab cov lej tsim nyog. - ICD-10 Code Translator
Lub cuab yeej txhais lus online ICD-10 code tso cai rau koj los sib piv ICD-9 rau ICD-10 codes. ICD-9 tau nthuav dav los ntawm 17,000 mus rau kwv yees li 141,000 ICD-10 codes, thiab lub cuab yeej online no tuaj yeem pab koj kos duab qhov kev nthuav dav ntawd. (Ceeb toom: lub cuab yeej no tsuas yog hloov ICD-10-CM codes, tsis yog ICD-10-PCS.)
Siv tau CMS Resources
ICD-10 Kev Kawm Yeeb yaj duab los ntawm CMS
Kev cob qhia los pab cov kws kho mob me
Tus Thawj Saib Xyuas Kev Ua Haujlwm rau ICD-10
Lwm Cov Kev Pabcuam Sab Nraud
Tsuas yog siv daim ntawv them nqi nrog TotalCare Member ID xwb.
Tsis yog, lub Alliance yuav tsim ib daim ntawv thov kev pab cuam raws li tus tswv cuab daim Medi-Cal ID thiab sib koom tes cov txiaj ntsig ntawm daim ntawv thov rau koj.
Koj yuav tau txais ib daim RA nrog rau cov ntaub ntawv thov nyiaj ntawm TotalCare thiab Medi-Cal.
Yog, peb txais cov ntaub ntawv txuas ntxiv rau ntawm EDI xa tuaj. Koj yuav tsum xa cov ntaub ntawv txuas ntxiv uas xav tau hauv ntu PWK. Koj tuaj yeem xa cov ntaub ntawv los ntawm fax lossis xa ntawv. Yuav tsum tau txais cov ntaub ntawv fax tsis pub dhau 7 hnub thiab cov ntaub ntawv txuas ntxiv uas xa tuaj yuav tsum tau txais tsis pub dhau 10 hnub. Peb yuav tuav koj cov lus thov thiab phim cov ntaub ntawv txuas ntxiv rau lawv los txiav txim siab rau koj cov lus thov.
Cov FQHC yuav tsum xa cov ntaub ntawv thov nyiaj pab rau UB-04 lossis 8371.
Yog, koj yuav them nqi nrog Tus Kws Kho Mob Extender NPI ua tus muab kev pabcuam hauv lub thawv 24J.
Tsis yog, tsis muaj ib qho kev hloov kho tshwj xeeb uas yuav raug them nqi sawv cev rau NP lossis PA.
Tsis yog. Rau 90 hnub thawj zaug tom qab ib tug tswv cuab tshiab rau npe, peb yuav tsis xav kom koj tau txais kev pom zoo ua ntej rau txhua yam kev kho mob, txawm tias qhov kev kho mob yog rau kev pabcuam uas pib nrog tus kws kho mob sab nraud ntawm lub network. Qhov kev zam yog rau cov neeg mob pw hauv tsev kho mob (IP)/cov chaw saib xyuas neeg mob uas muaj kev txawj ntse (SNF), uas yuav xav tau kev tso cai.
Hu rau Chaw Pabcuam
| General | 831-430-5504 |
| Kev thov Cov lus nug txog kev them nqi, cov xwm txheej thov, cov ntaub ntawv thov kev thov dav dav |
831-430-5503 |
| Kev tso cai Cov ntaub ntawv tso cai dav dav lossis cov lus nug |
831-430-5506 |
| Tso cai xwm txheej Tshawb xyuas cov xwm txheej ntawm cov ntawv tso cai xa tuaj |
831-430-5511 |
| Tsev muag tshuaj Cov ntawv tso cai, cov ntaub ntawv hauv khw muag tshuaj lossis cov lus nug |
831-430-5507 |
Muab Kev Pabcuam
Cov ntaub ntawv thov
Xov Xwm Tshaj Tawm Tshiab
