Provider Resources

Authorizations
&
Referrals

Authorizations & Referrals  Portal  (Login)

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Portal Access Application

Patient Eligibility

Verify patient eligibility through Medicare 

Verify patient eligibility through Brand New Day

Provider Contracting &
Credentialing

Requirements for joining

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Step 1: Contracting

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Step 2: Credentialing

Find Providers

Primary Care Providers

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Specialists & Ancillary

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Urgent Care Centers

Claims

Mail claims to: 

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KOVA Claims

P.O. Box 1717

San Leandro, CA 94577-1717

All Documents

• Affirmative Statement

• Authorization Referral

• Case Management Referral Form

• CMS Medicare (Parts C&D, FWA & General Compliance)

• Compliance Training

• Compliance Training Attestation

• Direct Referral Form

• Fraud, Waste & Abuse - Parts C&D - Training

• Member Rights & Responsibilities

• Portal Access Application

• PPMC Credentialing Application

• PPMC Re-Credentialing Application

• Review Criteria

• Utilization Management Criteria

Reach Kova

Company Roster

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Contact Form

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Call Us: (559) 207-3198

Counties Served

• Fresno

• Madera

• Merced

• Kings

• Tulare

• Kern