MPN

L.A. Wellness Spa Center Garo K. Tchakian, D.C. The following is a list of the Workers’ Compensation MPN's, which we are currently conducting business with and serving as the Primary Treating Physician:

1.   American Specialty Health Group, Inc. Medical Provider Network (Workers' Compensation) (Network Access)
2.   Anthem Slue Cross PPO (Workers' Compensation) (Network Access)
3.   Anthem Slue Cross PPO Medical Provider Network (Workers' Compensation}
4.  Employers Direct : Kaiser Permanente, Preferred Employers, Medtronic ,Republic Indemnity, Robertson's Ready Mix Concrete, Inc.,       Safeway Stores Inc.
5.   University of Southern California (USC} - administered by Sedgwick CMS
6.   Coventry
7.   AIG Insurance
8.   AMTRUST
9.   Broadspire
10. Crum and Forster
11. ICW Group
12. TRlSTAR Risk Management
13. United States Postal Service
14. York Claims Services
15. Zenith Insurance
16. Zurich Insurance
17. Other: Several other smaller MPN networks Several other Self-lnsured Employers

The following is a list of the Workers’ Compensation MPN's, which we are currently conducting business with and serving as the Secondary Treating Physician:

1. Kaiser On-The-Job Health Care Organization
2. State Compensation Insurance Fund
3. Self-Funded Employers Administered by the State Compensation Insurance Fund
        City of Irvine
        City of Orange Risk Management
        City of San Clemente
        City of Tustin

Client Listing for California as of November 2014

Thank you for being a valued partner In MedRisk's Expert Provider Organization Network (EPO). Below is the current list of MedRisk clients to help you Identify MedRisk patients quickly and easily; however, this list Is not all Inclusive. Please remember, regardless of the referral source a Workers' Compensation patient Insured by one of the companies listed here is recognized and processed as a MedRisk network patient. Patients scheduled by MedRisk directly with your facility should also be recognized and processed as a MedRisk network patient even if the patient Is Insured by a company not listed here.

Report a New Patient:                                                                                Request Authorization for Continued Treatment:
- Phone: 800-225-9675, Option 1                                                                - Fax: 855-806-9754
- Fax: 877-389-7197                                                                                    - Email: providerCArequest@medrisknet.com
                                                                                                                      To check/request status: Call 800-225-9675, Option 2

Submit Reports, Updates & Notes:                                                            Submit Bill for Payment:
Provide IE/FCE Reports, Patient Attendance Updates,                                 Mail bills to: MedRisk, Inc.
Progress Notes & Discharge Reports                                                                                    P.O. Box 14229 Lexington, KY 40512
- Fax: 855-806-9754                                                                                       Fax bills to: 877-724-7181

Contact MedRisk Provider Relations:
- Phone: 866-697-3707
- Email: providerrelations@medrisknet.com

Billing and Initial verification is handled through MedRisk for patients covered by the companies below. Failure to forward all bills directly to MedRisk may delay processing.