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The Benefits and Coverage Handbook, also known as the Combined Evidence of Coverage or EOC, provides information about how to access services, member benefits, and your rights as a health care consumer. Benefits and coverage handbooks (EOC) for Covered California and IFP Plans 2025 Handbooks. English version ; 2024 Handbooks. English version
- Billing information
Medical claims submission. VHP must receive claims and...
- Billing information
Medical claims submission. VHP must receive claims and encounter data from contracted providers within ninety (90) days from the date of service. VHP has 45 working days from the date of receipt to reimburse, contest, or deny a claim. All paper claims for covered services provided to eligible Members must be submitted on CMS 1500 Form (for all ...
If you would like to keep Covered California, but want to change to a different health plan or explore options, contact VHP for assistance at (408) 885-3560 or at brokerrelations@vhp.sccgov.org. Cancel your plan. If you wish to cancel the plan that Covered California has selected for you, you can visit your online account and cancel the plan at ...
Contact your agent for personalized help. You may also call VHP Member Services at (888) 421-8444 or Covered California at (800) 300-1506.
Nov 8, 2024 · If you find multiple health plans listed, please explore each plan and choose the one that suits you and your family’s needs. You can enroll in a Medi-Cal health plan by phone. Call Medi-Cal Health Care Options Monday– Friday, 8 a.m. to 6 p.m. at (800) 430-4263 (TTY: (800) 430-7077).
A claim is a request by a provider for reimbursement, which is submitted either electronically or by paper for services rendered. A claim will be paid or denied with an explanation for the denial ...
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What Plans Cover. All health insurance plans must provide a comprehensive package of items and services, known as essential health benefits. Ambulatory patient services. Emergency services. Hospitalization. Maternity and newborn care. Mental health and substance use disorder services, including behavioral health treatment. Prescription drugs ...