Jade Health Care Medical Group

Welcome to Jade Health Care Medical Group

Welcome to Jade Health Care Medical Group, a medical group affiliated with the Chinese Hospital Integrated Health System. We are committed in delivering culturally sensitive, bilingual managed health care in the San Francisco Bay Area.

Please contact us to learn more about the services and network we can provide for you.

New MSO Update – Effective Date: 9/1/2022

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

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

Below are updated specific details for your office staff:

**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

 

ALL OTHER LINES OF BUSINESS

AUTHORIZATIONS (UM)

Request PRIOR to 09/01/2022

Request ON or AFTER 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:

CLAIMS PROCESSING

Date of Service PRIOR to 09/01/2022

Date of Service ON or AFTER 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.

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

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
information:

  • 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.

CUSTOMER SERVICE

All Inquiries on or after 09/01/2022

Please call Network Medical Management:
Main Line: (415) 669-8003

WEB PORTAL SET-UP

Login credentials for the NMM Web Portal will be provided in the coming days.

For further questions or information, please email us at
JADEProviders@NetworkMedicalManagement.com