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Member services assistance; Continuity of care; Other health plan information; Periodically, VHP will send Member Updates to provide you with important benefit information, changes in policy or new state regulations. Please keep these updates with your VHP Evidence of Coverage and Disclosure Form (EOC) booklet.
The following forms are included in this section. You may copy them as needed or visit the “For Providers” section of the Valley Health Plan website at www.valleyhealthplan.org Sample - Valley ...
When submitting a claim to VHP for any services partially paid or denied by the Member's primary health insurance, a copy of the coverage's Explanation of Benefits (EOB), Remittance Advice ...
VHP contracts exclusively with Santa Clara Family Health Plan (SCFHP) for Managed MediCal members. Managed MediCal members calling to inquire about these services should be directed to SCFHP Member Services at (800) 260-2055. VHP does NOT provide member services support for SCFHP Plan Members.
Services are available within VHP’s network of contracted providers and may be authorized through the member’s PCP or other VHP contracted provider. Coverage is limited to a maximum of 20 ...
Authorization Request Form . For fax authorizations, complete and submit this form to fax: (408) 885-4875. Clearly identify the service requested and the medical justification for this service. Provider Dispute Form . If a VHP claim or authorization is denied, a provider may request reconsideration of denied services in writing.
VHP pharmacy benefit is managed by Navitus Health Solution. Navitus Customer Care is available 24/7 and can be reached Seca ti t 1on - 1-333-2757. ... Forms can also be obtained using your NPI ...
