
Gold Coast Direct Referral 2011-2025 Form


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People also ask
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What is a referral authorization form?
The referral certification and authorization transaction is any of the following: A request from a health care provider to a health plan to obtain an authorization of health care. A request from a health care provider to a health plan to obtain authorization for referring an individual to another health care provider.
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What is the timely filing limit for health and wellness claims in California?
Timely Filing – first time claim submission, not later than the sixth month following the month of service. Corrected Claims, Requests for reconsideration or claim disputes must be received within 365 days following the date of payment or the denial of the claim.
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What is the phone number for Gold Coast health providers?
Please contact Provider Relations by emailing ProviderRelations@goldchp.org or calling 1.888. 301.1228.
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What kind of insurance is Gold Coast?
Gold Coast was created by the Ventura County Board of Supervisors 13 years ago to administer Medi-Cal insurance to low-income residents. Though it's defined as a county-organized health system, it operates as an independent public entity and does not answer directly to the supervisors.
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What is the timely filing limit?
Timely filing is when an insurance company put a time limit on claim submission. For example, if a insurance company has a 90-day timely filing limit that means you need to submit a claim within 90 days of the date of service.
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What is the timely filing limit for payers?
How to Find Timely Filing Limits With Insurance Insurance CompanyTimely Filing Limit (From the date of service) Aetna Better Health 180 Days Aetna Better Health Kids 180 Days Ambetter 180 Days AvMed 1 Year28 more rows
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What is the timely filing limit for Gold Coast health Plan claims?
FAQs for Providers Regarding Claims Payment Issues Claims submitted beyond 365 days from the date of service or date of discharge will be denied.
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Is Gold Coast Health Plan the same as Medi-Cal?
Gold Coast Health Plan (GCHP) proudly serves Medi-Cal beneficiaries living in Ventura County. We are an independent public entity governed by the Ventura County Medi-Cal Managed Care Commission (VCMMCC) and are dedicated to serving our members.
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