Providers

Provider Relations

Doctor looking at the camera with other doctors in the backgroundCoast Healthcare Management believes in caring for the people who provide the care. There’s nothing more critical to the success of your medical practice than the well-being and positive spirit of members.

Coast has developed a Provider Service Team to assist you in complying with IPA policies and procedures, health plan audits, and regulatory changes. If you have questions or issues or want to schedule and on-site visit, please call our Provider Relations Department.

Schedule An In-Service:

Areas of Discussion with Physicians/Office Managers:

  • Administration, Resources
  • Internet Availability and Capabilities
  • Eligibility Management
  • PCP Policies and Procedures
  • SCP Policies and Procedures
  • Claims Management
  • Utilization Management
  • Quality Management
  • Risk Based Reimbursement by Medicare
  • Pay for Performance
  • HIPAA Compliance
  • Senior Services

What Sets Us Apart:

  • On-Site Provider Services
  • Automatic Fax Back System 
    (Quicker Turn-a-round of Authorizations)
  • Claims In-Load Capability
  • Web-Based Capability
    • Authorizations
    • Claims
    • Eligibility
  • Interactive Authorization 
    (Enter Authorizations Online)
  • Website - Marketing of Physicians
  • Homebound Program
  • Diabetic Clinic
  • 24/7 SNF Program
  • Senior Services