Billing Information
ELECTRONIC CLAIM SUBMISSION
Office Ally Payer ID:
- ❖ Family Choice Medical Group – FCMS2
- ❖ Family Choice Health Services – FCMS2
Optum Payer ID:
- ❖ All Groups – 95712
PAPER CLAIM SUBMISSION
Altura MSO
PO Box 7280
Los Angeles CA 90022-7280
Claims Acknowledgement
| LOB | E-Claim | Paper Claim |
|---|---|---|
| Commercial | 2 working days | 15 working days |
| Medi-Cal | 2 working days | 15 working days |
| Medicare | 2 working days | 15 working days |
Timely Filing Requirements
| LOB | Contracted | Non-Contracted |
|---|---|---|
| Commercial | 180 calendar days | 180 calendar days |
| Medi-Cal | 180 calendar days | 365 calendar days |
| Medicare | 180 calendar days | 365 calendar days |
Claims Processing Guidelines
| LOB | Contracted | Non-Contracted |
|---|---|---|
| Commercial | 45 working days | 45 working days |
| Commercial ERISA | 30 calendar days | 30 calendar days |
| Medi-Cal | 45 working days | 45 working days |
| Medicare Clean | 60 calendar days | 30 calendar days |
| Medicare Unclean | 60 calendar days | 60 calendar days |