Life-threatening emergency? Call 911
Find An Urgent Care
Member Services: (951) 791-1111
Enrollment Information: (951) 390-2840

For Providers

Forms and Resources for PromiseCare Providers

Provider Portals and Tools

Sign in, upload claims, and access case-management tools.

Prior Authorization and Referral Forms

Request authorizations and refer patients within the PromiseCare network.

To request a medical authorization, complete the Medical Group Referral Form and fax it with the medical documentation to your patient's medical group: Hemet Community Medical Group (888) 359-3583; Family/Seniors Medical Group and Menifee Valley Medical Group (888) 359-3582; Temecula Valley Physicians Medical Group (888) 681-5925. For DME or home health, fax (888) 359-3580.

For a drug prior authorization, use the Prescription Drug Prior Authorization Request.

Claims, Disputes, and Appeals

Inquire on a claim, file a dispute, or follow the appeals process.

Training and Compliance

The compliance program, plus required Medicare, SNP, and fraud-prevention training.

Standards and Guidelines

Clinical criteria, privacy notices, and preventive-care references.

Need help with a claim?

Contact our Claims Department at (951) 791-1111 for assistance with any of these resources.

Affirmative Statement

PromiseCare decision-making is based only on appropriateness of care and service and existence of coverage. PromiseCare does not specifically reward practitioners or other individuals conducting utilization review for issuing denials of coverage. Financial incentives for PromiseCare decision-makers do not encourage decisions that result in under-utilization.