Welcome to the Beacon Health Options of California, Inc. (Beacon of California) network of participating providers.
As a Knox-Keene Plan, Beacon of California is regulated by the California Department of Managed Health Care (DMHC). Where there is conflict between Beacon requirements and Knox-Keene regulations, the Beacon of California policies and procedures and handbook will reflect the Knox-Keene regulations for Beacon of California business, if more stringent.
Together, the Beacon of California provider agreement, addenda, and the handbook outline the requirements and procedures applicable to providers in the Beacon of California networks. Information specific to participating providers in the EAP network can be found in the EAP Provider Handbook. The handbook is an extension of the provider agreement and includes requirements for doing business with Beacon of California, including policies and procedures for individual providers, affiliates, group practices, programs and facilities and requirements for maintaining accurate demographic information in the provider directory. It provides important information regarding the managed care features incorporated in the Beacon of California provider agreements and reflects the policies and procedures that are applicable to our Knox-Keene product lines.
Beacon of California may, by notice, amend or change any or all provisions of the handbook by providing 45 business days prior written notice to providers unless the amendment is material and not made in order to comply with a change in state or federal law or accreditation standards. Refer to your Beacon of California participating agreement for information related to handbook or agreement amendments. To the extent that there is an inconsistency between the handbook and the provider agreement, Beacon of California reserves the right to interpret such inconsistency. Beacon of California’s interpretation shall be final and binding.
Beacon Health Options of California Forms
- Provider Dispute Resolution (PDR) Request
- Provider Dispute Resolution Multiple Requests
- Language Capability Attestation Form
- Medi-Cal Fee-for-Service Enrollment Form
- Prior Authorization Forms
- Log in to the Beacon Provider Portal
- EDI Resource Document – E-Support Services for ProviderConnect and Electronic Claims
- Provider Summary Voucher Form Sample
- CMS 1500 Claim Form
- Tips for Completing the CMS 1500
- UB04 Claim Form
- Tips for Completing the UB04
- Payment Integrity: Provider Documentation Standards