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Contact Us

Contact CFMG - Customer Service, Claims, & Eligibility 6425 Christie Ave #110
Emeryville CA 94608
Phone: (510) 428-3154
Mon-Fri 8:00am-5:00pm
Online Inquiry Form.
 

AUTHORIZATIONS / REFERRALS

CONTACTINFORMATION / FORMS

Telephone:    (510) 428-3489
Fax:               (510) 450-5868

CFMG Specialty Referral Form
CFMG Request for Authorization Form
CFMG Services that Require Prior Authorization
CCS/GHPP New Patient Service Auth Request Form
CCS/GHPP Established Patient Service Auth Request Form
CCS/GHPP County Offices

Member & Provider Satisfaction
Satisfaction A OK! CFMG conducts annual surveys of members and providers to ensure an excellent level of satisfaction. Over 97% of members surveyed are pleased with the care provided by CFMG's primary care physicians and specialists; and over 99% of physicians and practice managers are satisfied with the administrative services and support provided by CFMG.
Clinical Practice Guidelines
To assist physicians in providing the finest quality care, CFMG along with its physicians develop clinical guidelines or "best practices" to ensure that the most current and cutting-edge approaches to medical care are available for members. The Clinical Practice Guidelines (CPGs) focus on prevention, screening, and/or management of children with certain medical conditions. The following guidelines are available on the website: Autism, Asthma, Depression and Diabetes.Clinical Practice Guidelines

 

Utilization Management FAQs

1. What is the status of my authorization request?

2. Do rehabilitation services require authorization?

3. How do I request formula for our patients?

4. How do I request a nebulizer for our patients?

5. How do I request a date extension for an authorization?

6. Where do we refer members who cannot be seen at UCSF Benioff Children’s Hospital Oakland due to age?

7. How do I get a listing of approved Children First Medical Group (CFMG) Specialist?

8. How do I find a listing of CFMG Obstetrician/Gynecologists?

9. Does CFMG cover Podiatry?

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