Overview of Provider Resources

Whether you want to check members’ eligibility, access our formulary or download clinical guidelines, we make it easy for our Providers to obtain information. Choose from the menu to access our online resources, tools and materials for Providers.

If you have an idea or suggestion for improving our Provider website or if there is a tool you would like to see online, please email Provider Relations or call 1(415) 547-7818 ext 7084.

• Authorizations
• Care Management
• CHW Recommendation Form
• Claims Submission
• Clinical Guidelines
• Community Resources
• Cultural and Linguistic Services Training
• ED Navigator Workflow
• Grievance Process
• Health Education Library
• HIPAA Basics for Providers
• Interoperability APIs
• Population Health
• Provider Manual
• Provider Portal User Guide
• Provider Trainings
• Working with Medi-Cal Members