Requests for Criteria

Questions or issues regarding Meritage Medical Network’s authorization process, or how to obtain the policies, procedures, and criteria used to authorize, modify or deny healthcare to contracted health care practitioners or providers, can be obtained by calling the Utilization Review Department. Access to UM staff for authorization issues or a physician reviewer to discuss denials of service is available during normal business hours (8:30am – 5:00pm) at 415-884-1840 or toll free at 1-800-874-0840.

Or send an email to Member Services:


Central Valley:

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