Customer Service
(916) 407-2000
Toll Free
(844) 889-2273
Medicare Hotline
(916) 407-2000 ext. 2512
EZ-Net Promise Care

Claims

Nivano Physicians Claims Department staff help California physicians with claims processing. We handle Medicare, Medicaid, Medi-Cal, and private insurance claims. We follow CMS regulations and HIPAA requirements. We work with prior authorization, utilization management, and revenue cycle optimization for your practice.

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Claims Processing Support for California Healthcare Providers

Important Notice: Temporary Change to Claims Appeal Submission

Please be advised that due to unforeseen circumstances, we are currently unable to process claims appeals through our electronic system. Until further notice, all claims appeals must be submitted by paper. We apologize for any inconvenience this may cause and appreciate your understanding.

Our Claims Department staff help with medical billing and claims processing. We handle Medicare, Medicaid, Medi-Cal, and commercial insurance requirements so you get paid on time for your services.

We help with prior authorization, utilization management, and claims denials. We follow CMS regulations and HIPAA privacy standards.

For urgent claims, contact us for immediate assistance.

(916) 407-2000

Why Choose Us?

Healthcare Claims Processing

At Nivano Physicians, we use technology for claims processing for California healthcare providers.

We handle Medicare, Medi-Cal, and commercial insurance. We make sure claims are accurate.

We resolve denials. We follow CMS and HIPAA standards. Your practice gets paid faster with less paperwork.

We have a web portal, clearinghouse integration, and support to help with your revenue cycle.

Highly-Qualified Professionals

Board-certified physicians committed to exceptional patient care.

Top-of-the-line Equipment

Advanced medical technology for accurate diagnosis and treatment.

Fast and affordable services

Efficient scheduling with competitive pricing and quality care.

Satisfaction Guaranteed

High patient satisfaction through personalized, responsive service.

Web Portal for Claims

Important Notice: Temporary Change to Claims Appeal Submission

Please be advised that due to unforeseen circumstances, we are currently unable to process claims appeals through our electronic system. Until further notice, all claims appeals must be submitted by paper. We apologize for any inconvenience this may cause and appreciate your understanding.

Use our web portal for claims processing. The portal lets you submit claims electronically. This is faster and costs less than paper claims.

Check claims status, see payment history, and track Medicare fee schedule payments, Medicaid reimbursements, and commercial insurance settlements.

Our technology works with major clearinghouses and handles UB-04, CMS-1500, and PM160 forms.

Contact us to set up your portal access.

Electronic Claims Submission and Clearinghouse Integration

Important Notice: Temporary Change to Claims Appeal Submission

Please be advised that due to unforeseen circumstances, we are currently unable to process claims appeals through our electronic system. Until further notice, all claims appeals must be submitted by paper. We apologize for any inconvenience this may cause and appreciate your understanding.

We submit electronic claims to major clearinghouses and Change Healthcare networks. If you are able to submit claims electronically and are not currently doing so, please refer to the payer ID list below.

Access our services through clearinghouses using Payer ID MBA01 for: Claim Remidi Office Ally

For help with clearinghouse setup or electronic submission processes, contact us for assistance.

Don't Miss Your Medicare Enrollment Deadline!

Explore Medicare Advantage plans that include Nivano Physicians—an Independent Physician Association with 400+ primary care physicians, 1,200+ specialists, and 89 urgent care centers across Northern California.

Annual Enrollment Period ends Dec. 7th.

Get Details
Or Call (916) 407-2000 ext. 2512
(916) 407-2000

Claims Forms and Payment Processing

Nivano Physicians accepts many claims forms. We handle UB-04 forms for hospital and institutional claims, CMS-1500 forms for professional services, PM160 forms for specialized procedures, and other forms required by Medicare, Medicaid, and commercial payers.

We offer Electronic Funds Transfer (EFT) to speed up payments and improve cash flow for your practice.

Download the Electronic Funds Transfer Form for direct deposit. We follow CMS guidelines and keep records for audits.

For help with payment setup or form submission, contact us for assistance.

EFT Enrollment Form
Nivano PDR Form

How Can We Help

Claims Support

Our Claims Department helps with your revenue cycle and reduces paperwork. We help with Medicare fee schedule requirements, Medicaid billing procedures, prior authorization processes, and utilization management protocols.

We help with claims status inquiries, payment posting, denial resolution, and appeals management so you get full reimbursement.

We provide training and resources to help your staff with health care coverage requirements and follow CMS regulations.

We help with electronic submissions, payment reconciliation, or dispute resolution. Contact us for assistance.

Learn More About Us
(916) 407-2000

Medical Services for California Providers

Nivano Physicians serves California communities with medical services and practice support. We provide administrative support for physicians and healthcare providers.

We work with Medicare, Medicaid, Medi-Cal, and commercial insurance networks. We follow CMS regulations, HIPAA compliance requirements, and California Medical Association guidelines.

We use technology for claims processing and revenue cycle management. This helps practices focus on patient care and stay financially stable. We handle healthcare billing and payment processing.

Contact us for assistance with any questions or support needs.

Partner with California’s Premier Healthcare Administration Team

Experience the Nivano Physicians difference, where healthcare administration meets genuine patient advocacy and your well-being always comes first.

Take the first step toward better health today by learning about your Medicare coverage options and how Nivano Physicians can help you get the care you deserve.

Click Here to Learn About Medicare Enrollment and Coverage Options

Claims Dispute Resolution and Appeals Management

When claims are denied or need more review, our specialists help get you reimbursed. We handle appeals for Medicare, Medicaid, Medi-Cal, and commercial insurance denials. We work with utilization management departments and medical reviewers to overturn denials.

We know the requirements for different payer types and follow CMS timelines and documentation standards.

Download our Provider Dispute Resolution Request form to start appeals for denied claims.

Please mail to:

Claims Department
ATTN: Provider Disputes
890 W. Stetson Ave.
Hemet, Ca 92543

For assistance, please contact our office at (951) 791-1111 ext 1278

Claims Processing Timeline and Resubmission Guidelines

Wait the right amount of time before resubmitting claims. We recommend waiting 45 working days or 62 calendar days before resubmitting claims. This gives payers time to review and process payments.

This applies to Medicare fee schedule claims, Medicaid submissions, Medi-Cal processing, and most commercial insurance networks.

Resubmitting too early can delay payment and create duplicate claim issues.

Our tracking system monitors all claims and alerts you when you need to follow up.

For questions about claim status, timelines, or general inquiries, contact us for assistance.

Nivano Physicians Patient Testimonials

Nivano Physicians supports Medicare beneficiaries across California with accessible, coordinated care and reliable claims assistance. Here’s how our patients feel about the difference we’ve made in their healthcare experience.

No More Paperwork Headaches

“I used to struggle with insurance paperwork and not knowing if my bills were covered. Nivano handled everything quickly, and their team explained things in plain language. It’s a huge relief.”

Angela M.

Fast Help When I Needed It

“When my claim was denied by mistake, I thought I’d have to fight it alone. Nivano stepped in, filed the appeal, and got it resolved. I didn’t even have to make another call.”

Samuel R.

Medicare Made Simple

“I’ve had Medicare for years, but I never understood how it worked with my specialist visits. Nivano walked me through it all and made sure I was covered. They really care.”

Lisa G.

Say Hello

Mail Submission and Alternative Processing Options

For mail or paper submissions, use this address:

ATTN: Provider Disputes
890 W. Stetson Ave.
Hemet, Ca 92543

We accept paper submissions. We process mailed claims and follow Medicare, Medicaid, and commercial payer requirements.

Include provider information, patient demographics, and supporting documentation to speed up processing.

For help with mail submissions or switching to electronic options, contact us for assistance.

(916) 407-2000

GOT QUESTIONS?

Check Out Our FAQs

How long does claims processing typically take for Medicare and Medicaid submissions?

Wait 45 working days or 62 calendar days before resubmitting claims. This gives time for Medicare fee schedule review, Medicaid processing, and commercial payer evaluation.

Electronic submissions process faster than paper claims. Many Medicare and Medi-Cal claims get paid in 14-21 days.

For urgent or general questions, contact us for assistance.

We work with clearinghouses including Claim Remidi (Payer ID MBA01) and Office Ally (Payer ID MBA01) for electronic submission for Medicare, Medicaid, Medi-Cal, and commercial insurance claims. We work with Change Healthcare networks and other processing platforms.

Claim Remidi
Office Ally

For help with clearinghouse setup or electronic submission, contact us for assistance.

Our web portal gives you access to claims status, payment history, and submission for Medicare, Medicaid, and commercial insurers. You can use it for electronic claims submission, prior authorization tracking, and payment distribution monitoring. We follow HIPAA compliance.

Contact us to set up your portal and get training.

Our specialists handle appeals for Medicare, Medicaid, Medi-Cal, and commercial insurance denials.

Download our Provider Dispute Resolution Request form to start appeals. We work with utilization management departments and medical reviewers to overturn denials. We follow CMS timelines.

Please mail to:

Claims Department
ATTN: Provider Disputes
890 W. Stetson Ave.
Hemet, Ca 92543

For assistance, please contact our office.

Electronic Funds Transfer (EFT) improves cash flow with direct deposit of Medicare, Medicaid, Medi-Cal, and commercial insurance payments.

Download the Electronic Funds Transfer Form for setup. EFT enrollment takes 2-3 business days. Direct deposit is faster than paper checks.

For help with EFT or payment questions, contact us for assistance.

We accept many claim forms including UB-04 for hospital and institutional claims, CMS-1500 for professional services, PM160 for specialized procedures, and other formats required by Medicare, Medicaid, Medi-Cal, and commercial payers.

We handle electronic and paper submissions. We follow CMS regulations and payer-specific requirements.

For help with form selection and submission, contact us for assistance.