Utilization Management


Affirmation Statement

UM decision making is based only on the appropriateness of care and service and coverage
This organization does not specifically reward practitioners or other individuals for issuing denials of coverage or service care
Financial incentives for UM decision makers do not encourage decisions that result in underutilization


Utilization Management Department Contact Information

UM Communications

UM related calls from practitioners, ancillary service providers, facilities and members will be directed to the UM Department Utilization Management Staff are available to assist you between the hours of 8:00 am . 5:00 pm Monday through Friday, to answer member and provider questions related to authorization and referral processes

Via Telephone and Voice Mail by Calling:
(661) 335-7878 ext. 332
Toll Free: (866) 814-4476 ext. 332

Via Fax
(661) 215-9196

Via Telecommunications Relay Service/TTY

Services for the hearing impaired/deaf are available through your health plan. Please contact the Member Services Department through the Telecommunications Relay Service/TTY number listed on your health plan identification card. If there is no Telecommunications Relay Service/TTY number please dial 711 to access relay services.


Utilization Management Criteria

A copy of Independence Medical Group's Quality or Utilization Management Programs or a copy of the Utilization Management Criteria used in making a UM/Referral decision is available upon request by contacting the Member Services Department of

Independence Medical Group

(866) 814-4476 ext. 332

 
 
 
 
 

Confidentiality Notice: Any communication, and any files attached, MUST not contain confidential information or Personal Health Information (PHI) in accordance with HIPAA and other regulations. Please contact your IMG representative if you have PHI that needs to be sent to IMG. You may also email us at info@indmedgroup.com but do NOT email PHI to this email address.

Copyright © 2018 Independence Medical Group Address:
P.O. Box 1560
Bakersfield, CA 93302
Phone:
1.866.814.4476
1.866.814.4478 fax
E-mail: