Gold Coast Health Plan Claims System

Listing Websites about Gold Coast Health Plan Claims System

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Claims Gold Coast Health Plan

(7 days ago) WebSubmit claims electronically through a Plan-approved electronic billing systems software vendor or clearinghouse. Completion of electronic claims submission requirements can …

https://www.goldcoasthealthplan.org/for-providers/claims/

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Home Gold Coast Health Plan

(6 days ago) WebWe offer these services to members through our partner, Carelon Behavioral Health. If you or someone you know is having a mental health crisis, call Ventura County Behavioral …

https://www.goldcoasthealthplan.org/

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California County Organized Health System and Three Health Care

(8 days ago) WebVentura County Medi-Cal Managed Care Commission doing business as Gold Coast Health Plan (Gold Coast), a county organized health system (COHS) that …

https://www.justice.gov/opa/pr/california-county-organized-health-system-and-three-health-care-providers-agree-pay-707

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For Members Gold Coast Health Plan

(8 days ago) WebMental Health: 1.855.765.9702; Toggle search Search; Toggle nav. For Members. Welcome Members; New Members; Member Communications. AmericasHealth Plan Member …

https://www.goldcoasthealthplan.org/for-members/

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Memorandum - Cloudinary

(5 days ago) WebGold Coast Health Plan (GCHP) implemented a new claims system on May 3, 2021. Due to the transition, the loading of claims into the new system is taking longer …

https://res.cloudinary.com/dpmykpsih/image/upload/gold-coast-site-258/media/66a64031b96e494ab90392d64df92c1e/20210505_providerupdate-etp_claims_auths_hours-final.pdf

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California County Organized Health System and Three Health Care

(4 days ago) WebCalifornia County Organized Health System and Three Health Care Providers Agree to Pay $70.7 Million for Alleged False Claims to California’s Medicaid Program; Ventura …

https://oig.hhs.gov/fraud/enforcement/california-county-organized-health-system-and-three-health-care-providers-agree-to-pay-707-million-for-alleged-false-claims-to-californias-medicaid-program/

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Calif. health system, healthcare providers to pay $70.7M over false …

(8 days ago) WebGold Coast Health Plan, along with service providers Dignity Health, Clinicas del Camino Real, and the Ventura County Medical Center, will return the funds …

https://www.complianceweek.com/regulatory-enforcement/calif-health-system-healthcare-providers-to-pay-707m-over-false-claims/31994.article

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U.S., California reap $70.7 million in Medicaid fraud settlements

(6 days ago) WebThe county's Gold Coast Health Plan will pay $17.2 million to the federal government, and the county itself, which operates the health system Ventura County …

https://www.reuters.com/legal/government/us-california-reap-707-mln-medicaid-fraud-settlements-2022-08-19/

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County Organized Health System Medi Cal Plans

(6 days ago) WebNHeLP National Health Law Program Issue 3 September 29, 2014 County Organized Health System Medi-Cal Plans 6 ENDNOTES 1 OMNIBUS RECONCILIATION ACT OF …

https://healthconsumer.org/wp/wp-content/uploads/2016/10/County-Organized-Health-System-Medi-Cal-Plans.pdf

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Enterprise Transformation Initiatives 2020 - Cloudinary

(3 days ago) WebGold Coast Health Plan (GCHP) is transitioning two health care information systems enabling health plan operations: • Claims administration system Claims Address: …

https://res.cloudinary.com/dpmykpsih/image/upload/gold-coast-site-258/media/cfda708e5c7247f89999c335684d71f0/gchp_eti_prg_2020_v2.pdf

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Ventura County’s Organized Health System and 3 Medical …

(3 days ago) WebVentura County’s organized health system and three medical care providers have agreed to pay a total of $70.7 million to settle allegations that they broke federal …

https://www.justice.gov/usao-cdca/pr/ventura-county-s-organized-health-system-and-3-medical-providers-agree-pay-707-million

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Local health systems to pay $70.7 million in Medi-Cal settlement

(2 days ago) WebGold Coast Health Plan, which runs Medi-Cal health insurance in Ventura County, and three other local health systems will pay $70.7 million in a settlement over …

https://www.vcstar.com/story/news/2022/08/18/gold-coast-health-plan-medi-cal-settlement-ventura-county-lawsuit/7837677001/

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Ventura County hospitals, clinics, health plan will pay $70.7M to

(6 days ago) WebNOTE: This article was posted Aug. 18 and updated Aug. 26 with more details about the allegedly improper billing practices. The complete settlement …

https://www.pacbiztimes.com/2022/08/18/ventura-county-hospitals-clinics-health-plan-will-pay-70-7m-to-settle-claims-of-improper-billing/

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Report 2018-124 - California State Auditor

(1 days ago) WebProcess Claims Correctly. Report Number: 2018-124 use of managed care is a result of its focus on shifting beneficiaries out of fee-for-service and into a lower-cost system. The …

https://www.auditor.ca.gov/reports/2018-124/introduction.html

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Gold Coast Health Plan - bsa.ca.gov

(3 days ago) WebA PBM processes prescription drug claims on behalf of a health plan. This report concludes that Gold Coast could have taken earlier action to address errors made by

http://bsa.ca.gov/pdfs/reports/2018-124.pdf

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Quick Reference Guide for Horizon Behavioral Health Providers

(7 days ago) WebHorizon NJ Health Claims–Provider Services Line 1-800-682-9091 (DDE) SimpleClaim system. All providers that previously used TriZetto to directly enter their Horizon NJ …

https://s21151.pcdn.co/wp-content/uploads/HorizonNJHealth-QuickReferenceGuide-NewBenefits10.1.pdf

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FAQ — North Jersey Center for Acupuncture and Oriental Medicine

(9 days ago) WebBEWARE of any acupuncturist or medical doctor that says they will bill Medicare for acupuncture services. This is insurance fraud and a serious crime. Seniors and others on …

http://www.newjerseyacupuncture.com/faq

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Horizon Advantage Direct Access - eHealth

(6 days ago) Web60% after deductible. Inpatient and Outpatient Mental Health/Substance Abuse/Alcoholism Services must be coordinated through Magellan Behavioral Health at 1-800-626-2212. …

https://www.ehealthinsurance.com/ehealthinsurance/benefits/sbg/NJ/NJHorizon_ADV_DA_100_80_60.pdf

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