Representing Medical and Behavioral Health Providers and Facilities Across New Mexico

San Juan IPA’s over 450 members represent 39 specialties and sub-specialties in 70+ offices across New Mexico. We include a HEDIS quality review function, a Credentialing Committee, and a quality committee component.

As an NCQA-accredited organization, San Juan IPA’s core services of contracting and credentialing are complemented by an array of expanding resources for the physician office, helping keep practice costs low and quality of care high. We continually look for ways to improve practice efficiently and overall performance.

Alerts

June 22nd, 2023

3rd Quarter Round Table Meeting 2023

The 3rd Quarterly Round Table of 2023 will be held August 16th, 12:00pm – 1:00pm Meeting will be hosted ONLINE ONLY.

The link will be provided in the upcoming alerts.

Presentation provided by: United Healthcare

Open the full article

Topics:

-UHC Provider Portal Review

-Network News

-Smart Edits

-CME Credit Courses & Educational Purposes

-Commercial Claim Letters Going Paperless

-Reconsideration process

Please RSVP with Kayli Gonzales at kgonzales@sanjuanipa.com


January 12th, 2023

1st Quarter Round Table Meeting 2023

Attention: All San Juan IPA Members and Staff

The 1st Quarterly Round Table of 2023 will be held February 22, 12:00pm – 1:00pm at the Civic Center.

Please RSVP, lunch will be provided and we want to be sure to have plenty of food

Open the full article

Presentation provided by:  Casey Crotty, Interim CEO

Topic:
How To Read, Understand, and Negotiate Your Ballot

Please RSVP with Heather at heatherd@sanjuanipa.com or Margie at margie@sanjuanipa.com


October 4th, 2022

4th Quarter Round Table Meeting 2022

On November 16, 2022 San Juan IPA will be hosting a virtual 4th Quarter Round Table Meeting from 12-1pm:

Our guest speaker will be: Tiffany Corona, Presbyterian Health Plan, Provider Relationship Associate

Topics:  Information regarding the Provider Portal, Authorizations, Provider Directive, Appeals and
Grievances, ePayment Center, Provider Education Conference, NM Provider Enrollment, and Credentialing/Re-Credentialing

Open the full article

Details for the Zoom meeting will be forthcoming.

RSVP to: margie@sanjuanipa.com or heatherd@sanjuanipa.com


GO TO ALL ALERTS


Members