COMING SOON: Enhanced Provider Dispute Resolution (PDR) Process
| Date: | March 10, 2021 |
| To: | Health Plan of San Joaquin (HPSJ) All Providers & Facilities |
| From: | Health Plan of San Joaquin |
| Subject: | COMING SOON: Enhanced Provider Dispute Resolution (PDR) Process |
| Business: | Medi-Cal Managed Care |
As part of Health Plan of San Joaquin’s (HPSJ) continued efforts to ensure each Provider Dispute Resolution (PDR) is appropriately routed for review, HPSJ will be introducing a streamlined PDR process.
Look for details in a Provider Alert in the coming weeks! If you have questions, please contact our Customer Service Department at 209-942-6320.
Provider Manual
Health Plan of San Joaquin (HPSJ) is pleased to have you as part of our provider network. We recognize that the strength of our health care programs depends upon strong collaboration and communication with our providers, practitioners and their staff. The Provider Manual is intended to be a useful guide for participating providers/practitioners with HPSJ.
For the purposes of the Provider Manual, “provider” refers to health care practitioners and providers including any physician, nurse, other health care practitioner, hospital, ancillary provider, or other person or institution that furnishes Covered Services.
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