Contract Help
We encourage physicians to carefully read all contracts as well as proposed contract amendments prior to signing any agreement. To assist physicians with the contract review process, Members have free access to objective written analysis of major health plan contracts. Each analysis is designed to help physicians understand their rights and options when contracting with a third party payor, as well as an understanding of contract provisions that are prohibited by California law. While these analyses are not intended to be exhaustive, they are designed to draw a physician's attention to issues which may warrant further inquiry or clarification.
We have compiled critical information for interacting with the major payors in California. On each of the payor profiles you will find important contact numbers, addresses, and links for quick reference for payor interactions. You can use these profiles online or print them to keep at your fingertips.
The AMA has developed the National Managed Care Contract (NMCC) which helps physicians and their advocates:
- Support managed care contract negotiations with reality-based alternative language
- Ensure managed care contracts and managed care organizations’ conduct comply with applicable state legal requirements
- Develop managed care legislation and regulation
- Advance legal research and litigation
- Stay abreast of emerging state and federal legislative and regulatory trends
Use this database to search and compare model contract language, issue briefs on important managed care topics, AMA policy and the full text of all individual managed care state laws.
If you have any questions regarding specific health plans contact the Reimbursement Help Line at (888) 401-5911, or economicservices@cmanet.org
