WebThat's why Gold Coast Health Plan (GCHP) covers certain mental health services. We offer these services to GCHP members through our partner, Carelon Behavioral Health (formerly Beacon Health Options). If you or someone near you is having a mental health crisis, call the Ventura County Health Line. WebNov 21, 2012 · Gold Coast Health Plan Attn: Provider Dispute / Claims Correction P.O. Box 9176 Oxnard, CA 93031 HEALTH SERVICES Retro-Review TAR Denial Records for Review Appeal of Medical Necessity Other _____ _____ Gold Coast Health Plan Attn: Health Services Correspondence P.O. Box 9153 Oxnard, CA 93031 REFUNDS …

Gold Coast Health Always Care

WebMail completed form to: Gold Coast Health Plan Attn: Provider Dispute & Grievance P.O. Box 9176 Oxnard, CA 93031 OR Email to: [email protected] PROVIDER INFORMATION Provider NPI Number: Provider Name: Provider TIN: Provider Address: City: State: Zip Code: CLAIM TYPE Check the one that applies: ☐ Physician WebECM Authorization Request Form Becoming an ECM Provider This ECM Provider Certification Application is intended to ensure the ECM provider provides satisfactory evidence of meeting the ECM requirements as outlined by Gold Coast Health Plan’s (GCHP) Model of Care to be certified as an ECM provider. famous market in seoul

MCPDIP Provider Form Gold Coast Health Plan

WebElectronic claims submission. Provider resources (forms and documents). And much more! Any provider or health care professional who has questions about Medi-Cal or GCHP can contact our Provider Relations Department at [email protected] or 1.888.301.1228. Contact us 1.888.301.1228 Gold Coast Health Plan Attn: Claims P.O. … WebFind the Gold Coast Health Plan Authorization Form you want. Open it using the online editor and begin adjusting. Fill the blank areas; concerned parties names, places of … famous markets in mumbai