Claims Submission PDR Mechanism – NEMSMSO Providers will submit the written provider dispute to the following address: North East Medical Services Attn: MSO Provider Claim Dispute 1710 Gilbreth Road Burlingame, CA 94010
Contact Us - NEMS Our Member Services Department can assist you with registration and insurance program enrollment and eligibility questions San Francisco: 415-391-9686, Press ‘2’ after language selection or x8160; Daly City: 650-550-3923, Press ‘2’ after language selection or x8160; San Jose: 408-573-9686, Press ‘2’ after language selection or x8160
Submit a claim or dispute | Santa Clara Family Health Plan - SCFHP Non-contracted providers may submit an appeal for claims denials (not payment disputes) along with a Waiver of Liability (WOL) statement to Grievance and Appeals at PO Box 18880, San Jose, CA 95158 or fax it to 1-408-874-1962
North East Medical Services - 1870 Lundy - HCAI Address: 1870 Lundy Ave San Jose, CA 95131 HCAI ID: 306434262; Facility License Type: Clinic; License Category: Community Clinic; Facility Level Description: Parent Facility; Emergency Room Service Level: Not Specified; Facility Status: Open
NORTH EAST MEDICAL SERVICES PROVIDER DISPUTE RESOLUTION REQUEST - NEMSMSO • Mail the completed form to: North East Medical Services MSO Provider Claims Dispute 1710 Gilbreth Rd Burlingame, CA 94010 DISPUTE TYPE Claim Seeking Resolution Of A Billing Determination Appeal of Medical Necessity Utilization Management Decision Contract Dispute Disputing Request For Reimbursement Of Overpayment Other:
North East Medical Services (NEMS) (12 locations throughout San . . . Services include adult medicine, pediatrics, dentistry, laboratory, pharmacy, behavioral health, specialty care, health program enrollment and more Accepts Medi-Cal, Medicare, Covered CA, select private insurances, etc Sliding scale available Please call (415) 391-9686 for more information
GRIEVANCE FORM - nems. org If you need reasonable modifications, appropriate auxiliary aids and services, or language assistance services, contact NEMS Member Services Department at 415-391-9686 ext 8160 How to file a grievance with NEMS