What is an IPA?
A An IPA, or Independent Practice Association, is a group of doctors that provide medical services to individuals enrolled in health plans.
Q What is the difference between an IPA and my health plan?
A A health plan provides its members with medical, hospital and preventive care services through a contracted network of physicians, hospitals and other health care providers. An IPA works with your health plan to provide or direct all actual medical care and health services.
Q How do I choose a physician to care for my family and myself?
A You can select a physician by calling the member services representative listed on the membership card provided to you by your health plan. It is important to establish a relationship with a primary care physician early on in order to receive the optimal coordination and continuity of care.
Question markQ How do I know if my doctor is part of Northridge Medical Group?
A You can refer to the list of physicians included in this Web site. Or you can call our Customer Service Department at 1-888-252-6426.
Q How do I make an appointment with my Northridge Medical Group physician?
A It’s as easy as calling your physician’s office directly for an appointment.
Q How do I get a referral to see a specialist?
A Northridge Medical Group has a comprehensive network of contracted specialists and ancillary service providers. Once you have selected your primary care physician, he or she will work with Northridge Medical Group to direct you to the appropriate contracted specialists or services when medically necessary. In fact, our turnaround time for referrals exceeds industry standards; in many cases, your specialist referrals are approved the same day.
Q What do I do in case of an emergency?
A In the event you or a family member suffers any life- or limb-threatening illness or injury, you should always call 911 or go to the nearest emergency room immediately. Examples include (but are not limited to) significant active bleeding, seizures, blackouts, chest pain or problems breathing. (See Emergency Care in the Health Care Services section of this Web site.)
Q As a member of Northridge Medical Group, what hospital do I use?
A Northridge Medical Group is affiliated with Northridge Hospital Medical Center and other fine medical centers throughout the area.
Q Where can I call if I have questions regarding my health plan?
A Call the Member Service Department listed on your health plan ID card.
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Q What if I want to change my primary care physician?
A You may make changes by calling the Member Service Department listed on your health plan ID card.
Q Who do I call if I have questions regarding claims or referrals?
A Whenever you have questions or concerns regarding claims or referrals as well as eligibility, authorization or general patient issues, you can call our Customer Service Department at 1-866-604-3334. We guarantee a 48-hour follow up or answer to your inquiries.