Member Advocacy Program
Coast has recently implemented a “Member Advocacy Program” to provide you quick and responsive services. When members contact Coast, our member services team will handle the call from start to finish. They have been trained to look up information and answer most questions. When issues require involvement with other departments, they will coordinate with those departments and get back with you. Their goal is to get your question answered as soon as possible and to make sure that you are updated on the status of the research.
Please feel free to contact our member service department with assistance with any of the following issues:
- Bills from physicians, and unpaid claims
- Pending referrals
- Unable to schedule an appointment with a specialist or primary care physicians
- Direct referral to specialists
- After hour care centers
- Change primary care physicians and stay within IPA network
- Any other inquiries
Our member service team would like to hear from you with any comments or concerns. You can contact them by calling (877) 602-1563, TTY: 711.
UM decision making is based only on appropriateness of care, service, and existence of coverage; the organization does not specifically reward practitioners or other individuals for issuing denials of coverage or service care; financial incentives for UM decision makers do not encourage decisions that result in underutilization. If you would information on Utilization Management criteria used for decision making, please contact customer service at (877) 602-1563, TTY: 711.
Our normal hours of operation are: Monday – Friday 8:30a.m.-5:00p.m.