Jade Health Care Medical Group is a medical group delivering culturally sensitive, bilingual managed health care in the San Francisco Bay Area. Our service area includes the City and County of San Francisco and Northern San Mateo County.

Mission Statement
The mission of Jade Health Care Medical Group is to improve the health of our community by delivering high-quality, affordable healthcare through culturally competent and linguistically appropriate services.We consider our health care providers as our customers and vital partners in serving our members.

MSO Transition to Network Medical Management (NMM)
CCHP will continue to process Claims, Customer Service, and Utilization Management (UM) functions for the Chinese Community Health Plan (CCHP) Commercial line of business.

Effective September 1st, 2022, NMM will assume responsibility for all Claims, Customer Service, and Utilization Management for the remaining lines of business effective September 1st, 2022. These include:

• Anthem Blue Cross Commercial
• Chinese Community Health Plan (CCHP) Medicare
• San Francisco Health Plan Medi-Cal

For Chinese Community Health Plan COMMERCIAL LOB only




The process for Authorization and Claims submission & Review remains unchanged for CCHP Commercial LOB. For any inquires, please continue contact Chinese Community Health Plan at: CCHP Prior-Authorization Inquiry (Phone): 1-877-208-4959 CCHP Prior Authorization Inquiry (Fax): 1-415-398-3669 CCHP Claims Status Inquiry (Phone): 1-888-755-7888 CCHP Payor ID: 94302

UM Authorizations
Request PRIOR to 09/01/2022: Please note, ALL authorizations issued by CCHP that expire after 09/01/2022, will still be valid. NMM will process and pay claims for authorizations that were approved by CCHP prior to transition if Date of Service (DOS) is ON or AFTER 9/1/2022. All requested authorizations submitted prior to 09/01/2022 will be available for view on the NMM Provider Portal.	All requested authorizations shall be submitted to NMM on or after 09/01/2022 The following are the processes for submitting referrals to NMM: Submit referrals via NMM Web Portal: NMM Provider Portal Providers > Provider-Portal • UM Routine Fax: (415) 523-9552 • UM Urgent Fax: (415) 523-9553

Claims Processing

Date of Service PRIOR to 09/01/2022 Claims with Date of Service PRIOR to 9/1/22 shall continue to be submitted to CCHP, and claims that were previously submitted to CCHP should continue to be reviewed and followed up with CCHP. All requested authorizations submitted prior to 09/01/2022 will be available for view on the NMM Provider Portal. In addition, status of claim shall be made available on the NMM Web Portal. All Provider Dispute Resolution (PDR) requests with DOS PRIOR to 09/01/22 shall be submitted to CCHP. CCHP Claims Status Inquiry: 1-888-755-7888 CCHP Payor ID: 94302

Date of Service ON or AFTER 09/01/2022 All claims with a Date of Service (DOS) ON or AFTER 9/1/22 shall be submitted to NMM. The following is the NMM Claims submission: NMM Provider Portal Office Ally ID: NMM07 Claims Mailing Address: 1600 Corporate Center Drive. Suite 106 Monterey Park, CA 91754 Please note, any service authorized by CCHP will be honored by NMM. Please ensure you include the CCHP authorization on all claims, when applicable. All Provider Dispute Resolution (PDR) requests with DOS ON or AFTER 09/01/22 shall be submitted to NMM.