Prime Administrators Medical Provider Network MPN ID 3222

Pursuant to CCR 9767.3 (c) (4), - Physicians are NOT authorized to provide treatment at any location other than the location listed in this network listing.

ACCESSING A KASIER PERMANENTE SPECIALIST:

In order to treat with a Kaiser Permanente Specialist, the injured worker must first be evaluated by a Kaiser Permanente On-the-job (KPOJ) Occupational Medicine physician. The KPOJ physician will determine the appropriate Specialist, make the referral and clinic staff will assist to schedule the referral and appointment with the specialist within the MPN. To schedule an initial appointment with a KPOJ physician, call the preferred KPOJ clinic location phone number included in the MPN listing. You may also contact the MPN Medical Access Assistant line listed below for additional assistance.

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To Report Inaccuracies in provider data: Click Here, email ProviderUpdate04@snp-plus.com.

Medical Access Assistant:		MPN Contact:
Name: Signature Networks PLUS		Name: Signature Networks PLUS
MAA number: 855-622-6474		MPN contact number: 866-222-5378
MAA Fax number: 562-279-7601
Email: primeadminmpnmaa@snp-plus.com

To obtain a copy of any required MPN notifications, please call (866) 222-5378

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(BCC) displays in directory to confirm Network/MPN participation in the Anthem Workers' Compensation network.

(Anthem) is a product of Anthem Workers' Compensation^SM, LLC., a Limited Liability Corporation. Anthem accesses independently contracted provider networks through affiliated and other companies, which it makes available by contract to payors of workers' compensation benefits. Anthem has no control or right of control over the professional, medical judgment of independently contracted providers, and is not liable for any acts or failures to act, by independently contracted providers. Anthem is not an insurance company and has no liability for benefits under benefit plans offered or administered by employers or other payors. Anthem Workers' Compensation^SM is a service mark of Anthem Workers' Compensation, LLC. Any reference in the material to other organizations or companies, including their Internet sites, is not an endorsement or warranty of the services, information or products provided by those organizations or companies.