As a provider, if your request to join a payer network in the following markets has been denied, you might have some recourse for appeals.

As a provider, if your request to join a payer network in the following markets has been denied, you might have some recourse for appeals.
The Source is a comprehensive platform that monitors and documents various state-level activities related to healthcare prices and competition. It provides valuable resources in the form of legislation and litigation databases, which are searchable and easily accessible.
Discover the power of the HRSA Data Portal in revolutionizing healthcare research and planning. Developed by the Health Resources and Services Administration (HRSA), this web-based platform provides access to a vast array of comprehensive healthcare data. From primary care facilities to health workforce information, the HRSA Data Portal serves as a centralized repository for diverse datasets. Explore its key features, including interactive data visualization tools that enable users to gain insights and identify trends. Customizable reports and dashboards allow for tailored analysis, while the data download capability empowers researchers to perform in-depth analysis and integrate HRSA data into their own workflows. With its potential to inform evidence-based decision-making, the HRSA Data Portal can contribute to improved healthcare delivery, reduced disparities, and targeted interventions. Unlock the potential of data-driven solutions and work towards equitable access to healthcare resources with the HRSA Data Portal. Access it now to drive positive change.
California Primary Care Clinic Annual Utilization Data. Access the complete data set of annual utilization data reported by primary care clinics contains basic clinic identification information.
Maryland Physicians Care (MPC) Provider Relations Representatives Maryland Physicians Care
The tool is easy to use and only requires a handful of questions about your institution, including enrollment size, approximate institutional drop-out rate, and approximate per student tuition rate. Based on this information, the calculator will give economic estimates for both your institution and students.
Advanced financial and statistical support relating to Capitation Rates, Risk Adjustment Models, and Payment Methodologies.
This dataset contains the total number of Medi-Cal Managed Care enrollees based on the reported month, plan type, county, and health plan.
The CAQH Index benchmarks adoption, volume, cost savings opportunities and spend for transactions along the administrative workflow. The following metrics help measure progress towards an automated workflow. By tracking progress, the industry can more easily identify barriers that may be delaying automation and administrative simplification and focus efforts on them.
Various reports from the State of California regarding the quality of care provided by Medi-Cal managed care health plans. Plan-specific evaluation reports are also prepared for each individual health plan reviewed.