CONTRACTED PAYOR LIST
COMMERCIAL PPO/HMO
PLANS
- AETNA (including GEHA)
- ANTHEM BLUE CROSS
- BLUE SHIELD
- CBA
- CIGNA
- HEALTH SMART/UFCW
- HEALTHNET
- HUMANA
- MULTIPLAN
- NETWORK BY DESIGN
- SUTTER SELECT EPO/PPO
- TRICARE/TRIWEST/CHAMPVA
- UMR PPO
- UNITED HEALTHCARE
- WORKERS COMPENSATION PLANS (ALL)
MEDICARE ADVANTAGE PLANS
- ANTHEM BLUE CROSS
- BLUE SHIELD
- BRAND NEW DAY
- CAREMORE (OUTPATIENT ONLY)
- CCA HEALTH PLAN (EXPECTED 5/1/23)
- CENTRAL VALLEY PACE
- HEALTHNET MEDICARE ADVANTAGE
- HUMANA MEDICARE
- SCAN HEALTH PLAN
- UNITED HEALTHCARE MEDICARE ADVANTAGE
- WELBE HEALTH (‘STOCKTON PACE’)
- WELL CARE BY HEALTH NET
MEDI-CAL PLANS
- CENTRAL CALIFORNIA ALLIANCE BY LOA (ELIGIBLE BY SPECIAL AUTHORIZATION) EXPECTED CONTRACT 5/1/23
- HEALTHNET MEDI-CAL
- SEQUOIA HEALTH PLAN
- PRIME COMMUNITY CARE
- TRADITIONAL MEDI-CAL
MEDICAL GROUP AFFILIATIONS(HMO)
- ALLCARE (excluding Alignment for hospital services)
- CVMG (C-SNP/MEDICARE ADVANTAGE PLANS)
CONTRACTED PAYOR LIST
- ALLCARE (EXCLUDES SECURE HORIZONS AND HUMANA)
- AETNA
- ANTHEM BLUE CROSS
- BLUE SHIELD
- CAREMORE (OUTPATIENT ONLY)
- CENTRAL CALIFORNIA ALLIANCE FOR HEALTH BY LOA (ELIGIBLE BY SPECIAL AUTHORIZATION) CONTRACT EXPECTED 5/1/23
- HEALTH NET INCLUDING MEDI-CAL (INCLUDING SEQUOIA AND PRIME COMMUNITY CARE)
- HUMANA
- NETWORK BY DESIGN
- ONE CALL MEDICAL
- STANISLAUS FOUNDATION FOR MEDICAL CARE
- TRICARE/TRIWEST/CHAMPVA
- UNITED HEALTHCARE
- WORKERS COMPENSATION PLANS (ALL)
If you have questions regarding a payor not listed, please contact our Business Office at 209-232-2511 or 209-232-2535