North American Medical Management - California
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CMS Provider Disputes



Our goal is to provide affiliated physicians and providers with readily accessible information that works to expedite your interaction with our organization and will assist you in your managed care and business operations. To access the following information please use one of the following links:


  CMS Provider Payment Dispute Resolution Workflow
  ICE CMS Provider Payment Dispute 2nd Level Dispute with C2C (Coast to Coast) Workflow
  CMS PDR 101 - ICE Presentation
  Dispute Form


NAMM California provides this information on behalf of our affiliated entity PrimeCare Medical Network, Inc. and as the Management Services Organization (“MSO”) for the following physician organizations listed below:

PrimeCare Medical Network, Inc.
     Primecare Medical Group of Chino Valley, Inc.
     PrimeCare of Citrus Valley, Inc.
     Coachella Valley Physicians
     PrimeCare of Corona, Inc.
     PrimeCare of Hemet, Inc.
     PrimeCare of Inland Valley, Inc.
     PrimeCare of Moreno Valley, Inc.
     PrimeCare of Redlands, Inc.
     PrimeCare of Riverside, Inc.
     PrimeCare of San Bernardino, Inc.
     PrimeCare of Sun City, Inc.
     PrimeCare of Temecula, Inc.

Mercy Physicians Medical Group, Inc.

Primary Care Associates Medical Group, Inc.

Valley Physicians Network, Inc.

Additional Links:
   Provider Dispute Resolution Information - AB1455
   Claims Administration Services

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