Lonestarmedicalgroup.com

Imperial Health Holdings

WEBOur Mission. Deliver valuable care so our members are healthy in body, mind, and spirit to achieve their inherent potential. Our Vision. Deliver value-based care that is clinically …

Actived: 7 days ago

URL: https://www.lonestarmedicalgroup.com/

Imperial Health Holdings

WEB© 2024 Lone Star Medical Group . Pasadena, California 91106

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Imperial Health Holdings

WEBClaims. Claims Phone: 1-806-853-8331 ext. 3. Claims Mailing Address: PO Box 61150, Pasadena CA 91116. Claims Payer ID (Office Ally Electronic Submission): LNSTR.

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Imperial Health Holdings

WEBSKILLED NURSING. LABS / RADIOLOGY. Error: Please select a search category. Zip Code. Location of zip search 0 / 5. 10 miles. Radius of zip search. Error: Zip code must …

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PROVIDER DISPUTE RESOLUTION REQUEST

WEBFor routine follow-up, please use the Claims Follow-Up Form instead of the Provider Dispute Resolution Form. Mail the completed form to: LoneStar Medical Group, PLLC: …

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Pre-Certification Referral Form

WEBhealth, jeopardize patient's ability to regain maximum function, or 3) result in loss of life, limb, or other major bodily function. All referrals not meeting urgent criteria will be …

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Health Cosmos Direct-Referral-Form

WEBHealth Cosmos Direct-Referral-Form.pdf Author: Patricia.McNelly Created Date: 12/29/2021 8:16:49 AM

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PRECERTIFICATION/REFERRAL REQUEST FORM

WEBMedical Group or the Health Plan. Responsibility for payment shall be subject to member eligibility, benefit limitations, and the interpretation of benefits under applicable …

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Health Cosmos Imperial Claims EFT Auth Agreement Form …

WEBTitle: Health Cosmos Imperial Claims EFT Auth Agreement Form (1).pdf Author: Patricia.McNelly Created Date: 12/29/2021 9:12:25 AM

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VOIDED CHECK COPY

WEBI hereby authorize Imperial Health Plan of California, Inc. (IHPC) to initiate credit entries to the account at the financial institution indicated above. This agreement will remain in …

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