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With a panel of over 3,000 physicians, 50 Medical Groups/IPAs, 69 Hospitals and a myriad of Ancillary providers, PNO builds and manages Care1st provider network throughout Los Angeles county. With state-of-the-art information system with on-line Internet accessibility and highly experienced management support to achieve optimal provider satisfaction.

PNO understands the importance of developing and maintaining solid relationships with providers and the barriers that the under served population must overcome in order to access health care services. As a mixed model HMO, Care1st contracts with individual physicians and Medical Groups/IPAs on a capitated basis. Under the Medical Group/IPA arrangements, many operational functions are delegated with Care1st providing oversight.

Working closely with You
Our mixed model also offers an opportunity for independent physicians and other provider types to contract directly with Care1st under flexible reimbursement methodologies. It is our desire to be the most provider responsive department by working closely with our providers to better understand the obstacles facing them in order to improve the delivery of health care services.

Procedures & Guidelines
We release up-to-date information for providers, on state mandated procedures via manuals & newsletters.

  Provider Newsletter - Winter 2007
Provider Newsletter - Spring 2007
  Provider Newsletter - Fall 2007
  Provider Newsletter - Spring 2006
  Provider Newsletter - Fall 2006
 
  HIPAA Alert
  Provider Manual
  The Providers' Guide to Detect & Report Fraud
  Quality Improvement Incentive Program
  Provider Dispute Resolution Request Form
 

Medical Record Documentation standards
Care1st’s goal is to assure each patient has a legible, detailed, well organized, confidentially stored, easily retrievable medical record. These records need to be consistent with standard medical and professional practice and meet the standards of oversight organizations, including Care1st Health Plan and regulatory agencies.

Care1st Health Plan recommends a six section format


   
   
Got Questions?
1-323-889-6638 Ext. 6388
   
Health Eduction for Providers
   
Provider Manual
 

A hard copy of the Provider Manual is available upon request. Please contact Provider Network Operations at (323) 889-6638

Provider Disputes
   
The Providers' Guide to Detect & Report Fraud
   

Provider Newsletters
Newsletter - Winter 2007
Newsletter - Spring 2007
Newsletter - Fall 2007
Newsletter - Spring 2006
Newsletter - Fall 2006

   
Community & Provider Recognition Awards
   
Quality Improvement Incentive Program (Q.I.I.P)
   
Cultural & Linguistics Department
 
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