Get the free Covered California Provider Directory Data Submission

This document provides detailed guidelines, standards, and specifications for the submission of provider directory data to Covered California. It aims to ensure data quality regarding the accuracy, completeness, and timely submission of information about healthcare providers for the state’s health insurance marketplace.

How to fill out covered california provider directory

How to fill out covered california provider directory

1. Visit the Covered California website.
2. Navigate to the 'Provider Directory' section.
3. Use the search function to look for a specific provider or facility.
4. Filter results by plan type, location, or specialty as needed.
5. Review the list of providers available under your selected health plan.
6. Select a provider for more details, including contact information and address.
7. Confirm your selection to ensure they are part of your plan network.

Who needs covered california provider directory?

1. Individuals and families seeking health insurance coverage in California.
2. Residents who want to find participating healthcare providers.
3. Individuals enrolled in a Covered California health plan needing to choose a primary care provider.
4. Anyone looking to compare doctors and facilities under their specific health plans.

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What is covered california provider directory?

The Covered California provider directory is a comprehensive list of healthcare providers who are part of the Covered California health insurance marketplace. It helps consumers identify and access qualified medical professionals and facilities that accept Covered California plans.

Who is required to file covered california provider directory?

Health care plans and providers that participate in the Covered California marketplace are required to maintain and file an updated provider directory.

How to fill out covered california provider directory?

Filling out the Covered California provider directory involves gathering information about healthcare providers, including their names, specialties, contact information, and participation status. This information is then entered into the designated online platform or submitted according to the guidelines provided by Covered California.

What is the purpose of covered california provider directory?

The purpose of the Covered California provider directory is to provide transparency and accessibility for consumers seeking healthcare services. It helps them find in-network providers, understand their choices, and make informed decisions about their healthcare.

What information must be reported on covered california provider directory?

The information that must be reported includes provider names, addresses, phone numbers, specialties, the types of services offered, and whether the provider is accepting new patients or not.