You can find information on how to access the L. Care provider portal in the Provider Portal section of the handbook. For L. Care Community Access Network please call Registration : Click here. After Registration, log into your account and follow these steps to add L. Care as a new payer to your account. Provider Services Specialists at Pay Span are available to provide support for questions or issues, Monday through Friday from 8 a. In accordance with requirements of the Balanced Budget Act of , as a secondary payer, L.
Care will coordinate payment of benefits. These other insurers are considered the primary payer, and L. Care is the secondary or last payer. Balance billing is when a practitioner charges beneficiaries for Medi-Cal covered services.
Balance billing L. Care Members is prohibited by law. Contracted practitioners cannot collect reimbursement from a L. Care Member or persons acting on behalf of a Member for any services provided, except to collect any authorized share of cost co-insurance, co-payment or deductibles when applicable.
Network practitioners who engage in balance billing are in breach of their contract with L. Practitioners who engage in balance billing may be subject to sanctions by L. Care may deny a claim that is submitted beyond the claim filing deadline. A practitioner has a right to file a dispute in writing to L. Care within day from the date of service or the most recent action date, if there are multiple actions. Care makes available to all practitioners a fast, fair and cost-effective dispute resolution mechanism for disputes regarding invoices, billing determinations or other contract, non-contracted issues.
The dispute resolution mechanism is handled in accordance with applicable law and your agreement. A provider dispute is a written notice to L. Care challenging, appealing or requesting reconsideration of a claim. The following are examples of disputes:. If you remain unable to resolve your billing and payment issues L. Care makes available to all practitioners a second level dispute process. Second level disputes must be sent to the following address:.
Provider Line : Phone Medical Management : Phone Skip to main content. New for Medi-Cal Members Search for info about your benefits!
Healthy Moms Whether you're pregnant or a new mom, our Maternity Care Programs can help you and your baby stay healthy. Health Equity See how we support the vision of everyone having fair and just opportunities to be as healthy as possible.
Mobile Navigation Search. How to Join L. Welcome to L. About L. Care Covered Agent Resources. Submitting a Claim. Change Healthcare Benefits. Making Change Healthcare our exclusive clearinghouse for the submission of electronic claims will provide you with the following benefits: Allows our providers to directly submit electronic claims to Change Healthcare.
Reduce administrative fees related to the submission of claims, eligibility, and claims status transactions. Reduce provider administrative fees related to the submission of claims, eligibility, and claims status transactions.
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