IMPORTANT PROVIDER NOTICE REGARDING CHANGES

Date: 2/20/2020

 

As previously communicated, Independence IPA, A Medical Group (“IMG”) and Independence Medical Group Central California (“IMGCC”) signed a definitive agreement with Dignity Health Medical Foundation (“DHMF”) to transfer all of IMG’s and IMGCC’s physician and health plan agreements. The transfer was completed July 1, 2019. Effective July 1, 2019 Dignity Health Management Services (“DHMSO” a subsidiary of Dignity Health began providing full-service administrative and clinical support for dates of service beginning July 1, 2019.

Providers may continue to contact IMG/IMGCC for information regarding claims and authorizations for dates of service prior to July 1, 2019. IMG and IMGCC fax numbers have been disabled. Inquiries regarding claims and authorizations for dates of service prior to July 1, 2019 should be mailed to:

Independence Medical Group

P.O. Box 1560

Bakersfield, CA 93301

 

Submission of authorizations/ claims or requests for information regarding authorizations/claims for dates of service effective July 1, 2019 should be directed to DHMSO at the following:

                        Medi-Cal:

                        Toll free: 800-918-7302 (follow prompts)

                        Local: 661-716-7270 (follow prompts)

                        Fax: 661-716-9130

 

Commercial HMO, Medicare HMO:

                        Toll free: 800-414-5860 (follow prompts)

                        Local: 661-716-7100 (follow prompts)

                        Fax: 661-716-9130