5500 Ming Ave., Ste. 170, Bakersfield, CA 93309

(661) 695-5990 - Toll free: (833) 939-0853 TTY 711

(661) 695-5990 - Toll free: (833) 939-0853 TTY 711

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    • Join our Team
  • For Member
    • Member Information
    • Primary Care Providers
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    • Urgent Care
  • For Providers
    • Introduction to UHC IPA
    • Memo and Announcements
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  • Sunrise Wellness Care
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  • More
    • Home
    • Our Company
      • About Us
      • Leadership
      • Join our Team
    • For Member
      • Member Information
      • Primary Care Providers
      • Specialty Care Providers
      • Urgent Care
    • For Providers
      • Introduction to UHC IPA
      • Memo and Announcements
      • Reference Materials
    • Sunrise Wellness Care
    • Contact Us
  • Home
  • Our Company
    • About Us
    • Leadership
    • Join our Team
  • For Member
    • Member Information
    • Primary Care Providers
    • Specialty Care Providers
    • Urgent Care
  • For Providers
    • Introduction to UHC IPA
    • Memo and Announcements
    • Reference Materials
  • Sunrise Wellness Care
  • Contact Us
UHC IPA Provider Roster – PCPUHC IPA Provider Roster - SpecialtyUHP Provider Roster – PCP (Anthem Medicare Only)UHP Provider Roster - Specialty (Anthem medicare only)UHC IPA Member Services – Urgent Care, Lab, Radiology and Physical Therapy

Provider Resources

Compliance

Utilization Management

Utilization Management

If you become aware of any situation that may implicate Universal Healthcare MSO high ethical or legal standards, you must report the matter to Compliance Officer or your healthplan. The document below reviews the procedure to complete.


Compliance Reporting

Utilization Management

Utilization Management

Utilization Management

Members and physicians have the right to request Medical Group policies and procedures and criteria used to authorize, modify or deny healthcare to members. The document below reviews the overview of Utilization Management.


Utilization Management Overview

Language Assistance

Language Assistance

Language Assistance

The Health Care Language Assistance Act requires insurers to establish and support language assistance programs for members with limited English proficiency. The document below reviews the language assistance overview.


Language Assistance

Access Standards

Language Assistance

Language Assistance

Ensuring patients have appointments within appropriate time frames is a vital component of delivering quality care and service.  Managed care plans must meet minimum performance levels (MPLs) established by the DHCS for managed care accountability set measures. The document below outlines the required access measures for clinical services.

Access Standards for Clinical Services

Provider Forms

UHC IPA provider Portal User Guide_Eff._rv 12.14.22 (pdf)

Download

Referral Prior Authorization Form_rv 12.2022 (pdf)

Download

Universal Healthcare IPA_General Authorization Information for Providers (as of 02/24/2025) (pdf)

Download

UHC IPA Affirmative Statement (pdf)

Download

Health Net_Injectables_Update eff. 7.19.22 (pdf)

Download

Provider Dispute Resolution Request Form (FILLABLE) (pdf)

Download

Other provider resources

Carve Out and Community Services State Programs

Carve Out and Community Services State Program List

California Children's Services (CCS) Providers

Comprehensive Perinatal Services Program (CPSP) Providers

Child Health and Disability Program (CHDP) Providers

Provider Tools

Sample Health Plan ID Cards

Notice of Privacy Practice

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