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Ontrak Provider Resources

WELCOME ONTRAK PROVIDERS!

Thank you for being a part of our network. Please use this site as a resource for managing your relationship with us.

BILLING & IMPORTANT FORMS

Treatment Plan & Visit Summary Submission

An initial treatment plan is required (only one per member), and submission must be by member’s third visit. All other visits, both before/after treatment plan submission, require a visit summary submission. Please submit visit summaries within three business days of each service. Here are copies of each form:

Treatment Plan / Visit Summary Form

To ensure faster pay, better coordination, and lower no-show rates, please fax all treatment plan and/or visit summaries, immediately after each service, to the Care Coaches at (888) 972-9589. Or send via secure email: operations_delivery@ontrakhealth.com.

Please note: the date of service in the visit summary/treatment plans must match the date of service submitted on the claim.

CLAIM SUBMISSION

Timely Claim

Claims filed beyond the timely filing limit will be denied.

Please submit a complete claim to Ontrak’s TPA, Keenan and Associates. Claims should be submitted electronically.

Electronic:
Payor ID KEE01 (Office Ally)
Payor ID 95279 (All Others)

Billing Support:
Phone: 310-444-4395
Email Billing

ONTRAK NEWSLETTER & IMPORTANT NOTIFICATIONS

Winter 2022 Ontrak Provider Newsletter

In this newsletter, you can find important reminder information regarding timely filing guidelines. Check it out for our latest updates!

If you’d like to subscribe to our newsletter, please email Ontrak Provider Services.

CONTACTS

Mailing Addresses
California Integrated Health, Inc. Office: 2200 Paseo Verde Parkway, Suite 280 Henderson, NV 89052
Keenan and Associates: P.O. BOX 2744, Torrance, CA, 90509

Billing / Claims Questions
Phone: 310-444-4395
claimquestions@ontrakhealth.com

Provider Network Management / Contracting Questions
Provider Network Phone: 855-840-3627, Option 3
Provider Network Fax: 833-908-0144
Provider Network Help: network_management@ontrakhealth.com

Care Coach Line
Phone: 866-321-6560

Member Referrals & Eligibility Questions
Phone: 855-840-3627, Option 2
or 888-965-5423
ClaimQuestions@OntrakHealth.com