News & Announcements

Click on a link for more information.

9/8/2015 An updated Specialist Roster is now available on the Forms & Resources page.
5/20/2015 An updated Specialist Roster is now available on the Forms & Resources page.
2/5/2015 An updated Specialist Roster is now available on the Forms & Resources page.
10/22/2014 An updated Specialist Roster is now available on the Forms & Resources page.
6/14/2014 An updated Specialist Roster is now available on the Forms & Resources page.
5/21/2014 Updated Treatment Authorization Forms and Referral Authorizations are now available on the Forms & Resources page. Please make sure to use forms dated "4/14" to ensure proper processing of your requests!
2/12/2014 An updated Specialist Roster is now available on the Forms & Resources page.
11/26/2012 An updated Specialist Roster is now available on the Forms & Resources page.
9/4/2012 An updated Specialist Roster is now available on the Forms & Resources page.
8/2/2012 An updated Specialist Roster is now available on the Forms & Resources page.
3/15/2012 An updated Specialist Roster is now available on the Forms & Resources page.
12/15/2011 An updated Specialist Roster is now available on the Forms & Resources page.
12/2/2011 An updated Provider Manual is now available on the MSO Provider Manual & Standards page.
11/9/2011 An updated Specialist Roster is now available on the Forms & Resources page.
10/13/2011 New Timely Access Standards are now available on the MSO Provider Manual & Standards page.
9/30/2011 An updated Specialist Roster is now available on the Forms & Resources page.
2/4/2009 The NEMS MSO Utilization Management Team now has a new fax number: (415) 398-2895. Please fax all Treatment Authorization Forms, Referral Authorizations, and Specialist Extension forms to this new number! Forms with updated fax numbers are available on the Forms page.
1/15/2009 The NEMS MSO Claims Department now has a new fax number: (415) 398-2895. Please fax all MSO claims forms or communications to the new fax number!
4/24/2008 REVISED Treatment Authorization, Referral Authorization, and Specialist Extension Forms are now available for download and use!
10/16/2007 Scanned Treatment Authorization Forms and Referral Authorization Forms are now available for download and use!
8/1/2007 New Treatment Authorization Requirements (for administrative denials to claims submitted without proper prior-authorization) go into effect Saturday, September 1, 2007.
4/15/2007 Have you registered for your National Provider Identifier (NPI) yet? The deadline is Wednesday, May 23, 2007!

MSO Contact Information:
MSO Main Phone Number:
Claims Processing & Payment:
Member/Provider Services & Eligibility:
Language Assistance:
TDD/TTY Services for deaf, hard of hearing,
or speech impaired:
Utilization Management:
415-352-5045
415-352-5041
415-391-9686 ext. 8160
415-352-5045

1-800-735-2929
415-352-5045

The following services are available for members and providers who have any Utilization Management (UM) issues, such as questions pertaining to treatment requests:
  • Staff are available during normal business hours from 8:30 AM to 5:00 PM to receive phone calls.
  • After normal business hours, members and providers can leave a message on voicemail. Calls will be returned within one business day.
  • Our staff are identified by name, title and organization name when initiating or returning calls.
  • Members who are deaf, hard of hearing, or speech impaired may call 1-800-735-2929 for TDD/TTY services.
  • Members may call 415-352-5045 for language assistance.