Provider Resources

FOR PROVIDERS

Access important resources, forms, clinical guidelines, claims information, and coding and quality resources for Choice Medical Group providers and health plan partners.

Provider Resources

Resources for Our Providers

Quickly access important tools, information, and resources for working with Choice Medical Group.

Clinical Guidelines

Access MCG Clinical Guidelines and medical necessity criteria.

VIEW GUIDELINES →

Risk Adjustment & HEDIS

Medical record requests, Risk Adjustment Coding, HEDIS, and Quality Improvement information.

VIEW DETAILS →

Claims & Billing

Access claims submission information, billing resources, and provider claims contacts.

VIEW CLAIMS INFORMATION →

Forms & Documents

Access frequently used provider forms, documents, and reference materials.

VIEW FORMS →

Compliance & Regulatory

Access compliance information, policies, regulatory resources, and reporting information.

VIEW COMPLIANCE RESOURCES →

Provider Support

Find contact information and resources for provider questions and assistance.

GET SUPPORT →

RISK ADJUSTMENT & HEDIS

Medical Record Requests

To ensure timely processing, please submit medical record requests using the contact information below.

Submit Medical Records

Email – MedicalRecords@choicemg.com

Fax 760-513-9866

Phone 760-242-7777, ext. 381

Required Information

Please Include With Each Request

✓ Member information
✓ Date(s) of service or date range requested
✓ Rendering provider
✓ Requested due date, if applicable

Incomplete information may result in processing delays.

Coding & Quality Inquiries

For questions related to Risk Adjustment Coding or Quality Improvement, please contact:

Email – QualityCoding@Choicemg.com

A team representative will respond within 48 hours.

Please use the appropriate contact information above to ensure requests are routed to the correct team.

PROVIDER SUPPORT

Need Additional Assistance?

Have a provider-related question or need help finding the appropriate resource? Our team can help direct you to the right department.

The Right Choice… to better your health.

Choice Medical Group provides coordinated healthcare throughout the High Desert by connecting patients with trusted primary care physicians, specialists, urgent care, wellness programs, and personalized support.

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