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This document allows a member to appoint an authorized representative to act on their behalf for specific services related to the Inland Empire Health Plan (IEHP).
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People Also Ask about
Is IEHP the same as medi-cal?
IEHP is a health plan for people who have Medi-Cal. IEHP works with the State of California to help you get the health care you need. IEHP contracts with Independent Physician Associations (IPAs) to provide healthcare services. An IPA is a group of PCPs, specialists, and other providers of health care services.
What is the phone number for Iehp prior authorization?
prior authorization. please call (866) 725-4347.
What is the fax number for IEHP prior authorization?
This must be sent by facsimile to IEHP, attention Medical Director at fax number (909) 890-5751, using the Health Plan Referral Form for Out-of- Network and Special Services (See Attachment, “Health Plan Referral Form for Out-of-Network and Special Services” in Section 14).
What is the phone number for IEHP provider authorization?
Medical Reviewer Signature (Circle Title: MD, DO, RN, LVN, Coordinator) Date Criteria utilized in making this decision is available upon request by calling IEHP (866) 725-4347.
Is Iehp covered California?
Inland Empire Health Plan (IEHP) is among the list of options available on the Covered California exchange for those seeking coverage in 2024, Covered California officials announced Tuesday, July 25. IEHP will offer the lowest-cost silver plan in Region 17.
What is the phone number for IEHP direct customer service?
Our Member Services call center is now offering extended hours! Medi-Cal Members: If you have questions, call IEHP Member Services at 1-800-440-IEHP (4347), Monday–Friday, 7am–7pm, and Saturday–Sunday, 8am–5pm. TTY users should call 1-800-718-4347.
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What is representative to act on?
Representative to act on is a legal entity appointed to act on behalf of another individual or organization in certain matters.
Who is required to file representative to act on?
Any individual or organization that wants to authorize someone else to act on their behalf in specific matters is required to file representative to act on.
How to fill out representative to act on?
To fill out representative to act on, you will need to provide the necessary information about the appointed representative, the scope of their authority, and the specific matters they are authorized to act on.
What is the purpose of representative to act on?
The purpose of representative to act on is to legally authorize someone else to act on behalf of an individual or organization in specific matters, such as signing documents or making decisions.
What information must be reported on representative to act on?
The information that must be reported on representative to act on includes the name and contact information of the appointed representative, the scope of their authority, and the specific matters they are authorized to act on.
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