Patient Information
Patient Information
Welcome to our Patient Information section. Provided here is information that can better help you to understand your rights and responsibilities as a patient. Additionally, there are several forms that you can use to provide instruction as to your wishes in regard to your health.
Utilization Management Questions and Concerns
If you have questions or concerns regarding Utilization Management (UM) during normal business hours (8:30am – 5:30pm), please contact a UM Team Member to assist you at 1-800-700-6646 (collect calls are accepted). For hearing impaired services – TTY 711. To access language or LEP (Limited English Proficiency) services at no cost to you, call the number on your insurance ID card or call: (951) 683-6370
Utilization Management (UM) Guidelines
Riverside Medical Clinic Patient Services, LLC utilizes the Care Guidelines to determine medical necessity for the plans that we manage. The Guidelines are the protected intellectual property of MCG. Riverside Medical Clinic Patient Services, LLC is not able to distribute them without the permission of MCG. MCG has provided a tool that allows Riverside Medical Clinic Patient Services, LLC members and prospective members to view relevant MCG guidelines, however you will not be able to print them.
Follow the instructions below to access the MCG Guidelines:
- Step 1: Access guidelines here, read the disclaimer, and accept the terms and conditions.
- Step 2: Complete the User information form.
- Step 3: Complete the verification process to continue.
- Step 4: Click on the arrow icon.
- Step 5: Click on the guidelines you wish to view.
