Encounter Submission Requirements

Providers are required to submit encounters data when services are rendered.

Acceptable Submission Formats:

• Electronic ANSI 5010 837 Professional Claim

• Paper CMS 1500 form

• Direct Data Entry

Submit electronic encounters directly to MediChoice IPA or use a contracted
clearinghouse:

For other clearinghouse payer ID numbers or to establish a direct connection please
contact:

• Santwuan Bunn sbunn@amm.cc (877) 764-1405 Ext. 315

• Majken Flores majken@amm.cc (562) 766-2000 Ext. 249

Direct Data Entry:

Mailing Address:

• MediChoice IPA - 5000 Airport Plaza Drive Suite # 150 Long Beach, CA 90815

Claim Status:

• Use AMM Claims Manager to check claim status. Visit https://claims.amm.cc/ to register.