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Claims

For more information about filing medical insurance claims, electronic claims, paper claims, how to submit a payment, and frequently asked questions.

Premier Patient Care IPA
Attn: Claims Department
PO Box 7820
La Verne, CA 91750
Phone: (657) 206-8700
Email: claims@procaremso.com

Claim Submission: Electronic Claims

Electronic Claims are claims submitted electronically through a Plan-approved electronic billing system software vendor or clearing-house. Completion of electronic claim submission requirements can speed claim processing and prevent delays.

If you use EDI, you must include:

  • Billing Provider Name
  • Rendering Provider
  • Legal Name
  • License Number (if applicable)
  • Medicare Number (if applicable)
  • Federal Provider Tax ID Number
  • Medi-Cal ID Number (if applicable)
  • National Provider Identifier (NPI)

We cannot be responsible for claims never received. Providers must work with their vendors to ensure files are successfully submitted to us. Failure of a third party to submit a claim to us may risk the Providers claim being denied for untimely filing if those claims are not successfully submitted during the filing limit.

Claim Submission: Paper Claims

Paper claims are scanned for optimal processing and recording of data provided; therefore, even paper claims must be legible and provided in the appropriate format to ensure scanning capabilities. The following paper claim submission requirements can speed claim processing and prevent delays:

  • Use the appropriate form type for submission
  • Use black or blue ink; do not use red ink, as the scanner may not be able to read it
  • Use the Remarks field for messages
  • Do not stamp or write over boxes on the claim form
  • Send the original claim form to us and retain the copy for your records
  • Separate each individual claim form. Do not staple original claims together, as we would consider the second claim an attachment and not an original claim to be processed separately
  • Information is typed within the designated area of the field. Be sure the type falls completely within the text space and is properly aligned with corresponding information. If using a dot matrix printer, do not use draft mode since the characters generally do not have enough distinction and clarity for the optical character reader to accurately determine the contents

Contact Us

Call Us

(442) 231-8101

Email Us

support@procaremso.com

Our Location

1665 S. Imperial Avenue
Suite B
El Centro, CA 92243

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