Physicians experiencing problems with contracting, insurance claims or other reimbursement issues can get help from CMA's Center for Economic Services (CES). CES's practice management staff have a combined experience of more than 125 years in medical practice operations. Access to CMA's practice management professionals is a members-only benefit. Last year, the CES recouped more than $2.5 million from insurance companies on behalf of our physician members. 

CMA members can call CMA's reimbursement helpline for one-on-one help with reimbursement or contracting issues. It might be time to call if: 

• Your claims are not being paid in a timely manner. 
• You are not being paid according to your contract. 
• Your claims are being denied after obtaining prior authorization. 
• You are receiving unreasonable requests for medical records or untimely requests for refunds. 
• You are having difficulty obtaining fee schedules or payment rules or both. 
• Your claims are being denied for untimely filing. 
• You have been presented with a managed care contract and you're not sure if the terms are consistent with California law. 

Access to CMA's advocates is a free member benefit and may include: 

•  Education and guidance on reimbursement and contracting issues. 
• Advice on best practices for improved practice viability. 
• Information on your rights and responsibilities under California law and regulations. 
• Sample letters, forms and toolkits. 
• Direct intervention with the payor when necessary. 
• Assistance filing a formal complaint with the regulator. 
• Help identifying and preventing payor abuse 

To learn more or to request assistance, contact CMA's reimbursement helpline at 888/401-5911 or via email.