Kev thov

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.

• Remittance Advice Guide
• Remittance Advice Piav Codes

• FAQ hla dhau / Kev them nyiaj ntxiv
• Medi-Cal Lub Hom Phiaj Tus Nqi nce ntxiv

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 Lub Vev Xaib Loj
• Kev lag luam Email hloov tshiab
• Nplooj ntawv muab kev pab
• Xov xwm tshiab

ICD-10 Kev Kawm Yeeb yaj duab los ntawm CMS

ICD-10 Basics

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

• DHCS Reference Page
• AHIMA - American Health Information Management Association