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PROVIDER CORNER

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Welcome to the Provider Corner. This section of our website is for our providers, the hospitals, clinics, medical professionals and their staff who provide services for Health Plan of San Joaquin members. If you wish to obtain information regarding plans administered by San Joaquin Health Administrators, go to www.sjha-online.com.

Please take a moment to get familiar with the site. Here you have a voice and can provide HPSJ with feedback and comments to help us enhance features of the site, and provide excellent customer service to our growing network of providers and members.

We have recently updated our provider manual to include all of the updated forms, eligibility and authorization information, processes and more! Please refer to our updated manual for all of the latest information.

Links that were previously available below are quickly accessible under Section 3 of the manual.

Click here to access now!

Provider Manual

Alerts

Best Practices (Clinical Practice Guidelines)

Disease/Condition Organization Guideline Download (PDF)
Heart Failure
  • American College of Cardiology
  • Heart Failure Society of America
  • ACC/AHA Heart Failure Guidelines 2013
  • HFSA 2010 Heart Failure Practice Guidelines
  • Asthma
  • National Heart, Lung and Blood Institute
  • Asthma NAEPP EPR3 2007
  • PRIME Asthma in Primary Care Pocket Guide
  • COPD
  • Global Initiative for Chronic Obstructive Lung Management
  • GOLD 2014 Complete Report
  • GOLD 2014 Pocket Guide
  • GOLD Asthma/COPD Overlap Syndrome 2014
  • GOLD Spirometry Guide 2010
  • Diabetes
  • American Diabetes Association
  • ADA Diabetes Standard of Care 2014
  • Depression
  • Institute for Clinical Systems Improvement
  • ICSI Depression in Primary Care 2013
  • ADHD
  • Institute for Clinical Systems Improvement
  • ICSI ADHD in Primary Care 2012
  • Pediatric Obesity Toolkit

    Pharmacy Resources

    External Resources

    Login to DRE - Secured Provider Login

    If you are not currently using DRE, you can register now, by calling our Provider Services department at (209) 942-6340.

    Once logged into this website you have immediate access to the following:

    • Verify eligibility of a HPSJ Member
    • Member PCP determination
    • Review your HEDIS scores
    • Obtain synagis authorizations
    • Check claims status

    For further information about Health Plan of San Joaquin and becoming network provider, please contact our Provider Relations Department at (209) 942-6340.

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