COMMUNITY HEALTH PLAN
Makes any necessary changes and approves the upload file to be sent to L.A.Care and/or MRMIB.
Sends the approved upload file summary back to Information Systems by 12:00 p.m. (Noon) one (1) business day prior to the fifteenth (15th) of the month.
Forwards the upload file to L.A.Care and MRMIB by the fifteenth (15th) of the Month.
Forwards preliminary upload files for all CHP product lines, as required, with all provider information changes for the month to Provider Relations for final edit. The upload files contain changes to the provider data base, including: add a new
site, add a primary care provider to an existing site, change of provider information, delete a primary care provider, add a specialty provider, delete specialty provider from the network/change of specialty provider information, add a mid-level provider, and change of mid-level provider information.
Receives preliminary upload file(s) from Information Systems.
Compares upload file(s) changes against the original change request documents.
Makes final change adjustments as necessary to the upload file(s).
Returns final upload file(s) to Information Systems.