Tel No. (877) 747-2637

Providers

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Provider Resources

We want our providers to focus on patient care. To support our providers and their staff, we are committed to doing what we can to minimize administrative activities through the deployment of technology, simplified processes and dedicated personnel to make Evergreen IPA easy to do business with.

Provider Portal

We offer a web-based provider portal for our provider partners and their office staff. Authorization requests, claims submissions and status updates are available electronically through the provider portal.

For access to the provider portal, to request training or for general questions, please contact us at (626) 943-7465.

Compliance

We are committed to complying with all federal, state, local laws and contractual obligations to our health plans. By completing the Centers for Medicaid and Medicare Services (CMS) compliance trainings, reviewing our Code of Conduct and signing an attestation, as a provider partner, you are agreeing to uphold yourself to the same standards as Evergreen IPA.

All providers are required to sign and submit a compliance attestation to Evergreen IPA on an annual basis.


Medicare Parts C and D General Compliance and Fraud, Waste, and Abuse Training

The CMS compliance training modules can be accessed as follows:

Code of Conduct




Compliance Attestation

Completed attestations can be returned to:
Orlando Mendoza, CPCO
Fax: (626) 458-8051

Contracting & Provider Relations

Joining Evergreen IPA

Providers interested in becoming part of the Evergreen IPA network should fax the following information to the Contracting Department at (626) 458-8051:

  • Letter of Interest - please include scope of services, hospital/facility privileges
  • Curriculum Vitae
  • W-9
We will respond to all interested providers within thirty (30) days.


Address, Phone, Fax Updates

Demographic updates, such as practice location as well as phone and fax number updates, should be submitted in writing via fax to the Contracting Department at (626) 458-8051.

For general contracting questions, please contact the Contracting Department at (626) 943-7465 ext.436.