For Providers

About Us

PROVIDERS

Welcome to Seaside’s Provider Network!  The following information is designed to assist you and your staff in providing care to our members.

Seaside’s provider portal has a variety of tools to simplify your daily transactions including verifying eligibility, check claim status, and submitting & reviewing referrals.

Click here to be re-directed to our Provider Portal MC Link.

If you are not a registered provider, please click here to add an account. For more information on how to register as a provider please read the following document: 

PATIENT INFORMATION IS CONFIDENTIAL

Seaside Health Plan may monitor, record and/or audit access activity. Patient information should be accessed or viewed by authorized users for business purposes only. Patient information should not be discussed with other employees unless necessary to perform employment duties.   Patient information should be shared in accordance with all applicable State and Federal laws. 

For member information from one of our contracted health plans, click on one the links below:

Alignment Health Plan

Anthem Blue Cross

Blue Shield of California

Health Net

LA Care Health Plan


Provider Services Contact Information


Provider Manuals

To access Seaside Health Plan's Provider Manual, please click on the appropriate link below:


Other Resources 

 

PRESCRIPTION DRUG LIST

Seaside Health Plan’s drug formulary is a listing of all brand name and generic medications that have been approved by the FDA that are preferred by Seaside Health Plan. Seaside Health Plan contracts with MedImpact Health Systems, a Pharmacy Benefit Manager (PBM) to provide access to a nationwide network of participating pharmacies, mail order prescription drug services, claims payments for prescription drugs and management of the Plan’s drug formulary list. Your PCP will prescribe medications from the drug formulary list, as they have been reviewed thoroughly to ensure safety, effectiveness and the highest quality of care.

 

CLINICAL PRACTICE AND PREVENTATIVE HEALTH GUIDELINES

Seaside Health Plan adopts the guidelines of the US Preventive Services Task Force and Agency for Healthcare Research and Quality.

Seaside Health Plan’s recommendation of these guidelines is not an authorization, certification, explanation of benefits, or a contract. Benefits and eligibility are determined in accordance with the requirements set forth by the State of California.

Questions about Seaside Health Plan?

Call Us at (855) 367-7747