Information Last Updated: 10/19/2018
Universal Care dba Brand New Day is committed as a company to adhering to State and Federal laws, regulations, and guidance from the Centers for Medicare and Medicaid Services (CMS), the California Department of Managed Health Care (DMHC), and the California Department of Health Care Services (DHCS) in order to provide excellent service and care while preventing and correcting any fraud, waste, or abuse. Universal Care dba Brand New Day additionally is dedicated to improving the quality of care for members by following guidance published by the National Committee for Quality Assurance (NCQA) and other accrediting bodies.
Universal Care dba Brand New Day maintains a fast, fair, cost effective Provider Dispute Resolution (PDR) process for contracting and non-contracting providers per Medicare guidelines of the Centers for Medicare and Medicaid Service (CMS). Providers wishing to file a dispute are not subject to discrimination or retaliation. In processing provider disputes, Universal Care dba Brand New Day does not charge the provider for costs incurred and does not reimburse for expenses incurred by the disputing provider. All provider disputes must be received in writing and must be filed timely per Medicare guidelines.
This policy to outlines the process for resolving Provider Disputes from contracted and non-contracted providers.
This policy applies to Provider Disputes for Medi-CAL
Provider Dispute Resolution for Medi-Cal
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