The Clever Choice in Comprehensive Health Care

Welcome Clever Care Providers

Clever Care's provider portal is a secure, HIPAA compliant platform for providers to communicate with Clever Care. This site will allow you to submit authorizations and check on status, look up claims, and check benefits.  


New to the provider portal? Register today by filling out and signing this agreement: Clever Care EZ-NET Access Agreement. You may send us an email to clevercare-ezsupport@ccmapd.com or to your provider relations representative with your completed agreement. Your account will be created within 5 business days or sooner.

 

Providers, due to plan roll-over transactions happening with CMS right now, EZ-Net may appear to only show effective dates in 2023. Please click the ‘history' button to see the current enrollment for your members.

 
Links







Clever Care Health Plan's website


Find a provider


Learn more about Clever Care's plan benefits for your members


Delegated Entities

Rx: MedImpact

Dental: Liberty Dental

Vision: VSP

Hearing Aids: Nations Hearing (866) 304-7557

OTC: Nations OTC

Herbal Supplements: TS Emporium



Clever Care directly contracted network (not IPA networks)

Lab: LabCorp

Imaging: RadNet

   

Participating IPAs

For a full list of participating groups with contact information on how to submit claims and authorizations to them, please click on this link: Clever Care Medical Group Contact List.


Access IPA
IN Physician Associates
AMG IPA
Noble AMA
Center IPA
NXT IPA
Doctors Choice Medical Group
Physician Partners IPA
Equality Health Network PC
Preferred IPA
Freedom Physicians
PremierCare
Golden Physician
Prospect Health Plan and their affiliated IPAs

Greater Tri Cities IPA Medical Group

Providence Health Network and their affiliated IPAs
Health Excel IPA
St. Vincent IPA Medical Group


References and Forms

EZ-NET

Provider Portal Registration and User Guide

Clever Care EZ-NET Access Agreement

2024 General Compliance & FWA Training + Quiz

2024 HIPAA General Awareness Training + Quiz


UM

Prior Authorization List

Prior Authorization Request Form


Annual Wellness Visit Forms

2024 Very Clever Wellness Incentive (VCWi) Program Flyer

CCHP AWV Form 2024


Claims and Clearinghouse Information


Office Ally                                                                       

Payer ID: CC168                                                     

Encounter ID: CC16E                                              


Clever Care Claims Address

Clever Care of Golden State

Claims Department

7711 Center Ave, Suite 100

Huntington Beach, CA 92647


Payment Vendor (EFT and Paper Check): Payspan. Please enroll when contacted or visit their site to sign up: https://www.payspanhealth.com/nps.


Provider Dispute Resolution Request Form

Overpayment Refund Notification Form


Provider

Provider Information Change Form

Provider Orientation Presentation

Provider Manual Presentation

Inflation Reduction Act (IRA) Provisions

Special Needs Plan 2023 Model of Care Training

CCHP Risk Adjustment and Clinical Documentation Session 3/16/23

Risk Adjustment Coding Webinar 2/28/23

Physician Verification form

Clinical Practice Guidelines

2024 Clever Care Health Plan, Inc MOC Staff & Provider Training


Grievance and Appeals

Grievance and Appeals Form

Waiver of Liability Form



EZ-NET v6.8.0