Provider Resources
![Giatros Quick Reference Guide [10215].jpg](https://static.wixstatic.com/media/a53512_628ca1ad436f43a88a82f0ae93cf1886~mv2.jpg/v1/fill/w_186,h_79,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/Giatros%20Quick%20Reference%20Guide%20%5B10215%5D.jpg)
Contracting
Department
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Credentials
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Contract Eligibility PCP & Specialist
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Capitation
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Encounter Data
Eduardo Tumale
UM/ QI Department
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Utilization Management
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Quality Improvement
Beatriz Gonzalez
Main: (626) 457-5579
Toll Free: (877) 457- 4DRS
Fax: (323) 728-2632
umqi@alphamso.com
Member Services
Provider Relations
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Member Services
Gilbert Lozano
Main: (626) 457-5579
Toll Free: (877) 457- 4DRS
Fax: (323) 728-2632
providerrep07@gmail.com
Claims
Leslie
Main: (626) 457-5579
Toll Free: (877) 457- 4DRS
Fax: (323) 728-2632
claimprocessor@alphamso.com
Medical Director
Dr. Anil Hanuman
Cell: (213) 446-1697
Clinic: (323) 208-0946
Email: Anil.Hanuman@giatroshealth.com
Provider Relations & Contracting
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PCP Contracting Cell
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Bussiness Development
Lucero Paez
Phone: (562) 230-2859
Prior Authorizations / Denials
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Referrals & Authorizations Main
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Urgent & Routine
Edna Barraza
Main: (626) 457-5579
Toll Free: (877) 457- 4DRS
Fax: (323) 728-2632
referrals@alphamso.com
Case Management
Martha Sarabia, MSN, RN, PHN, CCM, CPUR
Main: (626) 457-5579
Toll Free: (877) 457- 4DRS
Fax: (323) 728-2632
martha@alphamso.com
HEDIS / RAF
IHA / AHA
• Annual Health Assessment
• Initial Health Assessment
• Risk Adjustment Factors
Brenda Barraza
Main: (626) 457-5579
Toll Free: (877) 457- 4DRS
Fax: (323) 728-2632
carecoordinator@alphamso.com
