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Er visits his/her assigned PCP or Provider, the PCP/Provider should verify eligibility before rendering services. In addition to verifying eligibility, the PCP/Provider is encouraged to verify the Member s identification through a secondary means, such as a driver s license or state identification with both a picture and signatures. INLAND EMPIRE HEALTH PLAN Chief Approval: Signature on file Original Effective Date: September 1, 1996 Chief Title: Chief Network Officer July 1, 2013 Revis.

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How to fill out the 9098903800 online

Filling out the 9098903800 form online is an essential process for Medi-Cal Members enrolled in the IEHP network. This guide will walk you through each step, ensuring clarity and ease in completing the form accurately.

Follow the steps to complete the 9098903800 form online.

  1. Click the ‘Get Form’ button to obtain the form and open it in the digital editor.
  2. Read through the instructions provided within the form. Familiarize yourself with the sections that require your personal information, such as the Member identification number, name, and date of birth.
  3. Carefully fill out the eligibility information. This may include providing details regarding the assigned Primary Care Provider (PCP) and any relevant demographic data.
  4. Verify that all information entered is accurate. Double-check for common entry errors such as incorrect dates or misspelled names.
  5. After completing all the necessary fields, you can save your changes. Ensure you have a plan for how you would like to receive the completed document, either through printing, downloading, or sharing.

Complete your forms online today for convenient and efficient management of your Medi-Cal eligibility.

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Related links form

KS RC 53-08 2018 MI CSCL/CD-715 2021 MI CSCL/CD-760 2021 MI CSCL/CD-520 2021

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Inland Empire Health Plan (IEHP) is a local public entity of the State of California and is a rapidly growing Medi-Cal and Medicare health plan in California.

Applying for Medi-Cal in Riverside County Call IEHP. Call 1-866-294-4347, 8am-5pm Monday-Friday. TTY users should call 1-800-720-4347. ... By Mail. You can mail your completed and signed application to: ... Apply in Person. Click here to find the Riverside County Medi-Cal Office. Apply Online. Click here to apply online.

IEHP is the health plan for Medi-Cal recipients in San Bernardino County. We are dedicated to providing our Members and local communities with optimal care and vibrant health.

IEHP is a managed health care plan that organizes care for their member. IEHP works with doctors, hospitals, and other health care Providers to give improved health care coordination and quality of care to the Members they serve.

If you have questions, call IEHP Member Services at 1-800-440-IEHP (4347), Monday–Friday, 7am–7pm, and Saturday–Sunday, 8am–5pm. TTY users should call 1-800-718-4347.

You can also email MemberServices@iehp.org. If you are a PROVIDER: If you need information, call the Provider Relations Team at (909) 890-2054, 8am-5pm, Monday-Friday.

With a mission to heal and inspire the human spirit, Inland Empire Health Plan (IEHP) is one of the top 10 largest Medicaid health plans and the largest not-for-profit Medicare-Medicaid plan in the country.

The IEHP Community Resource Centers (CRC) are your local resource for healthcare information in Riverside, San Bernardino and Victorville. Our friendly, bilingual staff can help you take free classes, learn about health care, and about health coverage programs.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232