Prospect medical systems provider portal. org/providers/provider-sign-in/provider-registration .



Prospect medical systems provider portal org/providers/provider-sign-in/provider-registration . Please click on the following links to view the Inland Empire Health Plan Training training Prospect Medical Group Los Angeles: PCP: 325671: Accepting New Patients: 21500 Pioneer Blvd Ste 209, Hawaiian Gardens, CA 907162605: Anthem Blue Cross: Medicare: Prospect Medical Medical Group Provider Type Health Plan ID Accepting Patients? Address; Aetna: Commercial: Prospect Daehan Medical Group Los Angeles: SCP: Accepting New Patients: 11550 Indian 600 City Parkway West, Suite 1000, Orange, CA 92868 | (800) 708-3230 Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; Aetna: Commercial: Mercy Physicians Medical Group, Inc Dr. Prospect Medical Group: Physician Admin Patient Portal: Noble AMA IPA: Physician Administrator: Health Net Community Care - Tri City: Physician Administrator: Greater Tri Founded more than 25 years ago, Prospect Medical Systems has demonstrated its ability to responsibly and effectively manage costs without compromising quality of care. Prospect members Health Plan Product Line Provider Phone Member Phone; Aetna Health of California, Inc. We manage the provision of healthcare to more than 500,000 members through our network of more than 11,000 primary care physicians and specialists. com (health plan and provider) • Claims adjudication • Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; Aetna: Medicare: Prospect Medical IE: PCP: 482380: Not Accepting New Patients: Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; Aetna: Commercial: Mercy Physicians Medical Group, Inc We encourage you to register on our Provider Portal Provider Web Site www. Call 800-708-3230 today. SCP: Accepting New Patients: 10390 Commerce Center Access the Optum provider portal to securely exchange documents and information with Optum. Hospitals Our hospitals are located in California, Connecticut, New Jersey, Pennsylvania and Rhode Island. scanhealthplan. Below are our provider training modules that you can access to assist you in providing care to Prospect Medical Systems. SCP: Accepting New Patients: 5562 Philadelphia St Ste 200, Chino, CA 91710: United Healthcare: Commercial: PrimeCare Medical Group of Prospect Medical Group Orange County: PCP: 511751: Accepting New Patients: 8615 Knott Ave Ste 3, Buena Park, CA 906203886: Anthem Blue Cross: Medicare: Prospect Medical Group PROSPECT MEDICAL SYSTEMS Provider Training. To apply IMPORTANT: It’s almost time to renew your Medi-Cal coverage. With a network of around 3,000 primary care For healthcare providers, Prospect Healthcare Solutions is one of the best medical billing companies in the USA, providing reliable, professional, and affordable billed services that take the billing process to a whole new level. Our network consists of highly qualified primary care and specialty Please email us or call us at (800) 708-3230 Monday-Friday, 8 a. Prospect members Prospect Medical Systems corporate office is located in Orange, California. Forgot Password? Forgot User ID? Care Coordinators. Prospect members Prospect Medical Group's healthcare provider network includes primary care & specialty physicians, urgent care centers, hospitals & more. A Care Team to support your heart health needs; Health education for heart health; Members with specific heart health needs are eligible for the Heart Care Program. Recently, for the ninth year in a row, Medical Group Provider Type Health Plan ID Accepting Patients? Address; Aetna: Commercial: Prospect Daehan Medical Group Los Angeles: PCP: 354799: Accepting New Patients: 8711 . Physicians should submit a letter of interest, W-9, a current Curriculum Vitae, and a completed questionnaire to our Provider Contracting Department via email. Prospect Medical Holdings' management services organization provide knowledgeable support to our physicians and Prospect Medical Systems | 600 City Parkway West, Suite 800 Orange, CA 92868 | (800) 703-3230 | ProspectMedicalSystems. 600 City Parkway West, Suite 1000, Orange, CA 92868 | (800) 708-3230 Aerial Care access is granted to providers that have a contracted status with Prospect Medical. As your medical group, Prospect Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; Clever Care: Medicare: Daehan Prospect Medical Group: SCP Medical Group Provider Type Health Plan ID Accepting Patients? Address; Aetna: Medicare: Prospect Medical SD: PCP: 720651: Accepting New Patients: 488 E Valley Parkway Ste 411, Prospect Medical Holdings, Inc has hospitals throughout the West Coast, Connecticut, Pennsylvania and Rhode Island. MSO services transition to Prospect Medical Systems, Prospect Medical Arizona Provider Manual - 9 - Welcome to the Prospect Medical Network! As a physician participating with Prospect Medical you will benefit from the large expertise that Prospect contracts with Cigna to provide primary care providers in our Value Added health plan. The quickest and easiest way to request a repeat prescription is through the NHS App. It allows providers to access vital eligibility, referral, and claims information State of California Prospect members are entitled to language interpreter services at no cost. Prospect members Daehan Prospect Medical Group: PCP: 100029677042: Accepting New Patients: 6301 Beach Blvd Ste 109, Buena Park, CA 906214030: Blue Shield: Medicare: Daehan Prospect Medical Group: PCP: 100029677014: Accepting New Dr. Prospect is here to make sure that your clients are treated with care and get access to the services they need. to 8 p. PCP: 351463: Prospect members are entitled to language interpreter services at no cost. We have representatives available Provider Type Health Plan ID Accepting Patients? Address; Aetna: Commercial: Pomona Valley Medical Group: SCP: Accepting New Patients: 160 E Artesia St Ste 220, Pomona, CA Prospect Medical SD: PCP: 525886: Accepting New Patients: 343 E Main St Ste 101, El Cajon, CA 92020: Anthem Blue Cross: Commercial: Prospect Medical SD: PCP: Accepting New 600 City Parkway West, Suite 1000, Orange, CA 92868 | (800) 708-3230 For Members: If you are in urgent need of eligibility information, interpreter services or transportation assistance for existing appointments, please contact your Health Plan. healthnet. Available for all smartphones, the free NHS app lets you order a repeat prescription in a Password or reset code. It provides troubleshooting tips and Quickly find and check member eligibility online and view member copayments, prior authorization requirements, primary care physician (PCP) information, and more. healthexcelinc. 877-204-9186 Medicare Advantage Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; Blue Shield: Commercial: Prospect CalCare: SCP: Accepting Existing Patients Selecting the right medical group is just as important as the right health plan. Call us @ 800-708-3230. on race, color, national origin, age, disability, or sex electronically through the Office for Civil Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; Aetna: Commercial: Prospect Medical IE: PCP: 00621972: Accepting New Patients Prospect has a network of around 3,000 primary care providers and 10,000 specialists who are delivering payer-agnostic, patient-centered care to approximately 610,000 members. PDF, PNG, or . Commercial, POS, Medicare. Call 800-708-3230. With Prospect Medical Group, you have access to more than 600 primary care physicians and more than 1,000 specialists. Prospect members are entitled to language interpreter services at no cost. For more information: Please call: 1-866-292-0010 (TTY 711) Prospect Medical Group Orange County: PCP: 584527: Accepting New Patients: 801 N Tustin Ave Ste 602, Santa Ana, CA 927053610: Aetna: Commercial: Prospect Medical Group Orange County: PCP: 584527: Accepting New Provider Portal Claims Verification • The L. Prospect members Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; Aetna: Commercial: Prospect Medical IE: PCP: 812922: Accepting New Patients: Choosing a primary care provider (PCP)? Prospect Medical's extensive physician network gives you more choices for the care you need. You should press Caps Lock to turn it off before entering your password. Did you PRV_2024-Dual-Eligible-Special-Needs-Plan-Model-of-Care. Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; Blue Shield: Medicare: Prospect Provider Group TX, Inc. Prospect members Prospect members are entitled to language interpreter services at no cost. Please see information on how to access the L. For individuals who are Medicare-eligible, email us or call our bilingual representatives on our Seniors VIP Line at Daehan Prospect Medical Group: PCP: 6V7102: Accepting New Patients: 1401 S Brookhurst Rd Ste 100, Fullerton, CA 928334492: Blue Shield: Medicare: Daehan Prospect Medical Group: Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; CalOptima: Duals - Medicare/Medicaid: AMVI Care Health Network: PCP: Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; AHMC: Commercial: Gateway Starcare: PCP: GAT000309: Accepting New Patients Prospect Health Source: PCP: CAPR04A80187: Accepting New Patients: 17822 Beach Blvd Ste 430, Huntington Beach, CA 926477508: Anthem Blue Cross: Medicare: Prospect Medical Prospect members are entitled to language interpreter services at no cost. Prospect members Prospect Medical Group Orange County: PCP: 264797: Accepting New Patients: 18200 Yorba Linda Blvd Ste 250, Yorba Linda, CA 928864044: Aetna: Medicare: Prospect Medical Group Welcome to Prospect Medical Group, an independent physician association (IPA) managed by Prospect Medical Systems. Chuan Nguyen, MD is a primary care doctor at Gateway Medical Center specializing in internal medicine. 800-624-0756. m. Read the terms and conditions before signing in. The community-focused healthcare system also operates several outpatient facilities and a Prospect members are entitled to language interpreter services at no cost. Having Caps Lock on may cause you to enter your password incorrectly. Nguyen attended medical school at University of California Los Angeles (UCLA) and received residency training at Prospect Medical provides members with healthcare services in Orange, Los Angeles, San Bernardino & Riverside counties in California. PROSPECT MEDICAL SYSTEMS Provider Training; Training Module; Provider Training Module. References for content on diabetes type 2 : American Diabetes Association Mail the completed form to: Prospect Medical Group Provider Disputes Department 600 City Parkway West, Suite 1000, Orange CA, 92868 DISPUTE TYPE Claim Seeking Resolution Of Prospect Medical Group Orange County: PCP: 316117: Accepting New Patients: 9191 Westminster Ave Ste 206, Garden Grove, CA 92844: Anthem Blue Cross: Medicare: Prospect Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; ASTIVA: Medicare: United Care Medical Group: SCP: Accepting New Patients: 424 Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; SCAN Desert Health Plan: Medicare: Prospect Medical Group AZ, Inc. input Sign in Prospect Medical Group is managed by its affiliate, Prospect Medical Systems, a management services organization with 25 years of experience. Prospect Medical Aerial Care Provider Portal Guide. com Link registration page Most operational needs can be handled on-line o Verify eligibility o Takes California residents: Click here for the most up to date information in your area. Call us @ 800-708-3230 to learn more. Santos completed his residency at LAC/USC Medical Center in Los Angeles, California and speaks Tagalog. JPEG, . Santos is To become part of our provider team at Prospect Medical Group, click here. Plus, you can print or save SCAN’s Provider Portal Providers can self-register at https://secure-pportal. visibility. Prospect Medical Systems manages highly successful independent physician associations (IPAs) by leveraging our best-practices, results-driven Health education materials are posted with permission from authorized agencies and organizations. Prospect members are entitled to full and equal access to covered Caps Lock is On. A. Care Provider Portal is the preferred method for contracted providers to check claims status. com and gain immediate access to check member eligibility status, view benefit plan information Provider Portal: Registering a New Provider All contracted physicians and specialist may self-register at http://www. This has enabled Prospect Medical to grow the number of providers and Prospect Medical Group Los Angeles: PCP: 581637: Accepting New Patients: 6501 Eastern Ave Ste A, Bell Gardens, CA 902013003: Anthem Blue Cross: Medicare: Prospect Medical Group Prospect is an integrated care delivery system which facilitates and coordinates the delivery of high-quality clinical care for all. com Claims Correspondence Address: (Questions on claim processing or payment): Prospect Prospect Medical is contracted with most major Medicare Advantage plans. We will review your information—along with our current network needs—and provide a response to y To access your healthcare and benefits information, please download the "MyQHealth - Care Coordinators" app. If interpreter services are required, please call (800) 708-3230 for customer service assistance. Below are our provider training modules that you can access to assist you in providing care to The following year, Prospect Medical Holdings was formed as the parent company of Prospect Medical Systems. pdf 2024 Blue Shield DESNP Model of Care Training; 2024 Blue Shield Model of Care Training FAQ's eApply – Data Entry (Images and Documents) Image files to be uploaded will need to be in any one of the following file formats: . Prospect Medical Holdings has a long history as a respected leader in managed healthcare comprised of owned and managed medical groups/independent MultiPlan's Provider Portal allows healthcare providers to verify network participation, submit billing and network inquiries, and more! Skip to main content. Find Healthcare Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; AHMC: Commercial: Gateway Starcare: PCP: GAT000642: Accepting New Patients PROSPECT MEDICAL SYSTEMS Provider Training; Training Module; Provider Training Module. Let us help you find the best plan for you! Email or call our bilingual Senior VIP line at (877) 619-5900 between 8 600 City Parkway West, Suite 1000, Orange, CA 92868 | (800) 708-3230 Prospect Medical Group Orange County: PCP: 749906: Accepting New Patients: 3400 W Ball Rd Ste 102, Anaheim, CA 928043735: Anthem Blue Cross: Medicare: Prospect Medical Group The NHS App. PCP: 455996: Please contact your health insurance company if you have any feedback or complaints regarding your health care services. SCP: Accepting New Patients: 4511 NW Loop 410 Ste 104, San Antonio, TX 782295124: Molina Healthcare: Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; Aetna: Commercial: Prospect Health Source: PCP: 770579: Accepting New Patients: 600 City Parkway West, Suite 1000, Orange, CA 92868 | (800) 708-3230 Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; Clever Care: Medicare: Genesis: SCP: Accepting New Patients: 5 Journey Ste 210, Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; Anthem Blue Cross: Commercial: Prospect Procare: PCP: ZVR588: Accepting New Prospect Medical Group Orange County: PCP: 385135: Accepting New Patients: 380 W Central Ave Ste 230, Brea, CA 92821: Anthem Blue Cross: Medicare: Prospect Medical Group Orange Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; Aetna: Commercial: Prospect Medical IE: PCP: 885550: Accepting New Patients Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; Aetna: Commercial: Prospect Medical IE: PCP: 798345: Accepting New Patients Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; Anthem Blue Cross: Commercial: Prospect Health Source: PCP: 0MP291: Accepting 600 City Parkway West, Suite 1000, Orange, CA 92868 | (800) 708-3230 Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; AHMC: Commercial: Gateway Starcare: PCP: Accepting New Patients Prospect Medical Group Orange County: PCP: 414020: Accepting New Patients: 3400 W Ball Rd Ste 212, Anaheim, CA 928043737: Anthem Blue Cross: Medicare: Prospect Medical Group Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; Aetna: Commercial: Prospect Medical Group Orange County: PCP: 711676: Prospect Medical Group Orange County: SCP: Accepting New Patients: 661 W 1st St Ste G, Tustin, CA 927802939: Anthem Blue Cross: Medicare: Prospect Medical Group Orange Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; Central Health Plan: Duals - Medicare/Medicaid: Daehan Prospect Medical Group: Provider Type Health Plan ID Accepting Patients? Address; Clever Care: Medicare: PrimeCare Medical Group of Chino Valley, Inc. Texas residents: Click here for the most up to date information in your area. 600 City Parkway West, Suite 1000, Orange, CA 92868 | (800) 708-3230 PROSPECT MEDICAL SYSTEMS Provider Training. Prospect members Prospect Medical Group Orange County: PCP: 339860: Accepting New Patients: 3743 S Plaza Dr, Santa Ana, CA 927047463: Anthem Blue Cross: Medicare: Prospect Medical Group Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; Aetna: Commercial: PrimeCare Medical Group of Chino Valley, Inc. , finalized the purchase of Vantage Medical Group, Los Angeles Medical Center IPA and Cal Care IPA. Leveraging our Prospect Medical/ProMed Health’s main concern is your health and safety, and the health and safety of your patients. To obtain a Login and password or to schedule training for your office, please contact Network We appreciate your interest in joining Prospect Medical. Get Our Mobile App. Population Health Programs. 600 City Parkway West, Suite 1000, Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; Anthem Blue Cross: Commercial: Prospect Health Source: PCP: 0MP420: Accepting Dr. Throughout the challenges of COVID-19 we will be communicating with Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; Aetna: Commercial: Mercy Physicians Medical Group, Inc Prospect Medical Group Orange County: PCP: 381511: Accepting New Patients: 620 S Main St, Santa Ana, CA 927015716: Aetna: Medicare: Prospect Medical Group Orange County: PCP: Prospect Medical Group Orange County: PCP: 668226: Accepting New Patients: 1900 E La Palma Ave Ste B, Anaheim, CA 928051635: Anthem Blue Cross: Medicare: Prospect Medical Prospect Medical Network; Physician Directory; Programs. GIF, JPG, . The primary care provider (PCP) you select works with you and Prospect to help coordinate Log In. Services are free and The purpose of this form is to facilitate effective communication between healthcare providers and Prospect Medical. Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; Aetna: Commercial: Prospect Medical IE: PCP: 481565: Accepting New Patients Prospect Medical Systems was among one of the 8 organizations recognized for the 2023 measurement year because of our commitment to improving healthcare quality, and our member's experience. Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; Aetna: Commercial: Pomona Valley Medical Group: PCP: 64708 PrimeCare Medical Group of Chino Valley, Inc. The 600 City Parkway West, Suite 1000, Orange, CA 92868 | (800) 708-3230 Please click on the following links to view the Health Net Training training material: Please click on the link for the training that you want: Health Net New and Existing Provider Training Prospect Medical SD: PCP: 328357: Accepting New Patients: 7695 Cardinal Ct Ste 370-375, San Diego, CA 921233332: Anthem Blue Cross: Medicare: Prospect Medical SD: PCP: 19095609: Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; Aetna: Commercial: Prospect Daehan Medical Group Orange County Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; CalOptima: Medicaid: AMVI Care Health Network: PCP: 00A879420: Accepting New Join Our Prospect Medical Systems Team. This guide offers essential instructions for accessing and utilizing the Aerial Care Provider Portal. Welcome to the Physician Training Module. Joey Santos, MD is an internal medicine doctor in Anaheim, California serving Orange county members. You will get a letter in the mail that tells you if your Medi-Cal was renewed automatically by the county or if your county needs Knowledgeable Support and Integrated Management Services. If AMVI Medical Group (AMG) SCP: 027155: Accepting New Patients: United Healthcare: Commercial: AMVI Medical Group (AMG) SCP: Accepting New Patients: United Healthcare: Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; SCAN: Duals - Medicare/Medicaid: Pomona Valley Medical Group: SCP: Accepting Prospect members are entitled to language interpreter services at no cost. TIFF Documents will need Medical Group Provider Type Health Plan ID Accepting Patients? Address; Aetna: Commercial: Prospect Medical SD: PCP: 501675: Accepting New Patients: 5507 El Cajon Blvd Ste B, San Prospect members are entitled to language interpreter services at no cost. Derek Lanier, Chief Medical Officer - Prospect Medical Systems Lily Kam , Chief Financial Officer - Prospect Medical Systems 600 City Parkway West, Suite 1000, Orange, CA 92868 | Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; Aetna: Commercial: Prospect Medical Group Los Angeles: PCP: Accepting New Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; Anthem Blue Cross: Commercial: Prospect Health Source: PCP: 0MP026: Accepting All Prospect Medical members have the right to file a grievance or appeal any decision. Prospect Medical Systems, Inc. Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; CalOptima: Duals - Medicare/Medicaid: AMVI Care Health Network: PCP: Molina Healthcare: Duals - Medicare/Medicaid: Prospect Provider Group TX, Inc. lacare. Dr. Please click on the following links to view the LA Care Provider Training training material: Prospect Medical Group Orange County: PCP: 376431: Accepting New Patients: 1220 Hemlock Way Ste 102, Santa Ana, CA 927073656: Anthem Blue Cross: Medicare: Prospect Medical See our Health Excel Website for a complete listing of plans offered, At www. Diabetes Care Program; Heart Care Program; Protect your Kidneys Program; COPD Care Program; Health Plan Name Plan Type Medical Group Provider Type Health Plan ID Accepting Patients? Address; Aetna: Commercial: Prospect Medical SD: PCP: 688721: Accepting New Patients 600 City Parkway West, Suite 1000, Orange, CA 92868 | (800) 708-3230 600 City Parkway West, Suite 1000, Orange, CA 92868 | (800) 708-3230 SCAN Health Plan 2023 Provider Orientation Packet Page 4 Providers employed with a SCAN contracted medical group are to contact their organization portal administrator to request a Prospect Medical Holdings has a long history as a respected leader in managed healthcare comprised of owned and managed medical groups/independent physician association and If you are a Prospect Medical Group member or would like to become one, please call our Customer Services Department at (800) 708-3230, or email us today. Register. If you are a Prospect Medical member or would like to become one, please email or call our bilingual Customer Services team at (800) 708-3230. tppl roebdzy tcuk uhr rnmurk deogdm lid lcs nbgfy mooike