Tri-Valley Medical Group


IPA NAME
SERVICING COUNTIES
Tri-Valley Medical Group Riverside County
San Bernardino County
Orange County

Tri-Valley Medical Group

Website: https://www.trivalleymedicalgroup.com/

Provider Directory:  https://quickcap.imsmso.com/provider_directory/index.php

Submit claims to IMS electronically through Office Ally Payer ID: TVMG1


Portal: https://quickcap.imsmso.com/imsmso/general/index.php
IMS Phone number:
323-800-8283

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