IN Physician Associates IPA

IPA NAME
SERVICING COUNTIES
Pacific Senior Medical Group Los Angeles and Orange Counties
Pacifica IPA Los Angeles and Orange Counties
AVA IPA
 Los Angeles and Orange Counties
Genuity Orange County

IN Physician Associates IPA

Provider Directory:  https://quickcap.imsmso.com/provider_directory/index.php
Address: 13200 Crossroads Pkwy. N., #315, City of Industry, CA 91746
Phone: (323) 800-8283

UM After Hours: 1-800-285-6164

Health Plans managed by Innovative Management Systems MSO:

Submit claims to IMS electronically through Office Ally Payer ID: INPA1
Portal: https://quickcap.imsmso.com/imsmso/general/index.php#med_dashboard_frame&link_module=14&link_id=455
IMS Phone number: 323-800-8283

https://quickcap.imsmso.com/imsmso/general/index.php#med_dashboard_frame&link_module=14&link_id=455

Health Plans managed by All Care To You MSO:

  • WellCare – https://www.wellcare.com/
  • Scan – https://www.scanhealthplan.com/
  • Humana – https://www.humana.com/

Submit claims to ACTY electronically through Office Ally Payer ID: INPA2
Portal: https://portal.allcaretoyou.com/INP
ACTY Phone Number: 949-750-2061

 

IN Physician Associates IPA “IN” is an Independent Physician Association (IPA) comprised of several IPAs located across the state of California, currently serving Los Angeles and Orange counties.

IN’s business model was uniquely designed by leading managed care innovators to reduce Provider and Payer administrative efforts and to expand patient access by entering into one contract with practitioners and Health Plans on behalf of multiple IPAs.

IN recently partnered with a Restricted Knox-Keene licensed entity, Access Senior Healthcare, Inc., giving IN Physician Associates the opportunity to work with WellCare, Scan, and Humana in a global risk arrangement.

Affirmative Statement

IMS employees who are in the position to review, conduct, or make medical decisions are not influenced by financial incentives, bonuses, or additional compensation relating to the quality of, access to, or utilization of Health Care services rendered to members. Physician reviewers are not rewarded for issuing denials of coverage. All decisions are reviewed using evidence-based guidelines, criteria, and/or the members’ Health Plan/IPA Evidence of Coverage.

To discuss denials, criteria, or to obtain an appeal, please call our Customer Service team at 323-800-8283.

Obtaining Decision Making Criteria

Clinical criteria related to Utilization referral decisions are available to Members, Providers, and the public, and may be requested by contacting the IMS Utilization Management Department, or via fax, portal, or by phone at 323-800-8283.  The criteria will be delivered within one (1) business day of the request.

IPA Attestation

Affirmative Statement Attestation

References

10.29.20 HPMS Memo – COVID-19 Vaccine Significant Cost Determination

10.29.20 COVID-19-toolkit-issuers-MA-plans_0