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Verification of Benefits and Referrals

Verification of the member’s benefit coverage before treatment is critical. While the member may provide this information, the provider is responsible to verify the accuracy of the member’s coverage directly with CHP for Self-Referred...

Non-Covered Services

CHP covers medically necessary care under the provider’s contract and applicable fee schedules. If a provider recommends services – including services not performed by the provider such as labs or radiology – that are...