Tuesday, August 21, 2018

For Physicians

Physician standing by counter.

CMA Center for Economic Services (CES)

OCMA Members: when do you call CMA Center for Economic Services? 

  • Are your claims not being paid in a timely manner?
  • Are you not being paid according to your contract?
  • Are your claims being denied after obtaining prior authorization or verifying eligibility?
  • Are you receiving unreasonable requests for medical records or untimely requests for refunds?
  • Are you having difficulty obtaining fee schedules and/or payment rules?
  • Are your claims denied for untimely filing?
  • Have you been presented with a managed care contract and you’re not sure if the terms are consistent with California law? 
  • Have you done everything you can to resolve an issue with a payor and have been unsuccessful in getting the payor to resolve the issue?

Center for Economic Services

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