CLINICAL SERVICES

The Clinical Services Department can assist a provider or member with a request for authorization, verification of benefits, retro-authorization, or general inquiries regarding treatment services.  Please use the contact information below to reach a Clinical Customer Service Representative.

Network Manual

• Access/Referral and Utilization Management
• Provider Forms and Guidelines

Authorization

• Retro-Authorization Request Form
• Concurrent Review Guidelines
• Online Provider Authorization Request Form

Contact a Clinical Customer Service Representative

• Email: clinical@chipa.com
• Phone: (800) 779-3825 Option 6 and then Option 2
• Fax: (877) 803-3182
• Mail: 17100 Pioneer Blvd., Suite 420 - Cerritos, CA 90701

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