Provider Downloads

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Claims Information

Claims Reference Guide

  1. Billing Information, click HERE.
  2. Payment Information, click HERE.
  3. Provider Disputes and Appeals, click HERE.

ECHO Provider Notification FAQs

  1. For questions related to ECHO Health, a provider of electronic solutions for payments to healthcare providers, click HERE.

MEDI-CAL PAP AND HPV CO-TESTING REGULATIONS.

Provider Login

Authorization Request Form

UB-04 Billing Examples for Inpatient Services

Family Choice Medical Group Direct Referral Form

Altura PDR (Single Claim)

Altura PDR (Multiple Claims)