CalCPA ProtectPlus » Fresno http://cpaprotectplus.com/blog Just another WordPress weblog Fri, 03 Feb 2012 22:20:57 +0000 en hourly 1 http://wordpress.org/?v=3.1 Latest Wellpoint Network Updates: ProtectPlus Members http://cpaprotectplus.com/blog/2009/06/latest-wellpoint-network-updates-protectplus-members/ http://cpaprotectplus.com/blog/2009/06/latest-wellpoint-network-updates-protectplus-members/#comments Tue, 23 Jun 2009 18:00:29 +0000 admin http://cpaprotectplus.com/blog/?p=228 Hospital Facilities:
County Facility Current Status Effective Date Alternatives
Madera Children’s Hospital Central California An agreement was reached, which will be effective from 7/1/09 through 5/7/11. 6/12/2009
Humboldt Mad River Community Hospital An agreement was reached, which will be effective from 7/1/09 through 6/30/12. 7/1/2009
HMO Medical Groups:
County Medical Group – PMG/IPA site Current Status Effective Date Alternatives
Tulare Mosaic Medical Group (0WR) In Active Negotiations 8/1/2009 1. Key Medical Group (AED)
Solano Northbay Medical Group (0TL) In Active Negotiations 9/1/2009 1. Hill Physicians Medical Group / Solano(0KS) 2. Sutter Regional Medical Foundation (1CF)
Fresno Sante’ Community Physicians (0KQ) In Active Negotiations 9/1/2009 1. New Admin Site
PPO Physicians:
County Provider Specialty Current Status Effective Date
Alameda Joseph N Togba, MD Plastic Surgery Reimbursement Terminate 7/14/09
WellPoint-logo101Hospital Facilities:

  • County Facility Current Status Effective Date Alternatives
  • Madera Children’s Hospital Central California: An agreement was reached, which will be effective from 7/1/09 through 5/7/11. 6/12/2009
  • Humboldt Mad River Community Hospital An agreement was reached, which will be effective from 7/1/09 through 6/30/12. 7/1/2009

HMO Medical Groups:

  • County Medical Group – PMG/IPA site Current Status Effective Date Alternatives
  • Tulare Mosaic Medical Group (0WR) In Active Negotiations 8/1/2009 1. Key Medical Group (AED)
  • Solano Northbay Medical Group (0TL) In Active Negotiations 9/1/2009 1. Hill Physicians Medical Group / Solano(0KS) 2. Sutter Regional Medical Foundation (1CF)
  • Fresno Sante’ Community Physicians (0KQ) In Active Negotiations 9/1/2009 1. New Admin Site
PPO Physicians:

  • County Provider Specialty Current Status Effective Date
  • Alameda Joseph N Togba, MD Plastic Surgery Reimbursement Terminate 7/14/09
]]> http://cpaprotectplus.com/blog/2009/06/latest-wellpoint-network-updates-protectplus-members/feed/ 0 News: Anthem Blue Cross – Local Negotiations http://cpaprotectplus.com/blog/2009/05/news-anthem-blue-cross-local-negotiations/ http://cpaprotectplus.com/blog/2009/05/news-anthem-blue-cross-local-negotiations/#comments Mon, 01 Jun 2009 04:24:58 +0000 admin http://cpaprotectplus.com/blog/?p=92  

anthembluecrossAnthem Blue Cross is currently in active negotiations with Children’s Hospital of Central California, located in Madera county.  Anthem’s contract with this provider is currently scheduled to terminate as of 6/8/09,  if an agreement is not made with  this facility. 

Should this occur, alternative facilities that members can use in this area include Fresno Heart Hospital, St. Agnes Medical Center or Community Medical Center of Fresno.

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