Providers
Important Announcements
CHOC Health Alliance Secure Provider Web Portal is now available for referral
submission
Provider
Web Portal Navigation Guide
Click here for important announcements on
prior authorization and
claims.
A convenient and secure login is available for CHOC Health Alliance providers to:
- Submit and verify prior authorizations
- Verify enrollment
- Find a doctor or specialist
- Look up claims status
- Get information on benefits
During the registration process, CHOC Health Alliance providers will assign a Primary
Representative from their office. A provider’s office has only one Primary
Representative. If necessary, the primary representative is allowed to add authorized
representatives within their office to their account.
To register, please click on the following link for registration instructions.
How To Register
register@chochealthalliance.com
If you are already registered and would like to login, please click here.
CME Opportunities
The California STD/HIV Prevention Training Center is offering courses that provide
medical professionals valuable information on STD/HIV. For more information on available
courses or to obtain literature, please click on the link below.
http://www.stdhivtraining.org
HIPAA 5010 transaction set upgrade
On January 16, 2009, the Department of Health and Human Services (HHS) released
updated standards for electronic health care and pharmacy transactions as part of
the Administrative Simplification Provision of Health Insurance Portability and
Accountability Act (HIPAA).
The Electronic Data Interchange (EDI) HIPAA 5010 (ASC X12 5010) transaction set
will help facilitate a nationwide conversion to an electronic health care environment.
HIPAA 5010 is effective January 1, 2012.
Health care providers, health plans and health care clearinghouses must comply with
the changes to transaction set standards.
Resources
Frequently Asked Questions
Training
Provider Letter
Centers for Medicare and Medicaid Services (CMS):
Standards for Electronic Transactions - New Versions, New Standard and New Code
Set - Final Rules
Versions
5010 and D.0 Educational Resources