Department of Public Health and Social Services - Division of Public Welfare - Bureau of Health Care Financing Administration

Department of Public Health and Social Services - Division of Public Welfare - Bureau of Health Care Financing Administration


Phone: 1-671-735-7231/7243
Fax: 1-671-734-6860
Website: http://dphss.guam.gov/bureau-of-health-care-financing-administration/
Types of Services Offered: Medical & Health Services
Category: Government Local

Description:

Bureau of Health Care Financing Administration administer local and federal health care programs to assist low income individuals and families who are uninsured or have adequate insurance coverage and ensuring that the quality of health care is available and accessible for both on-island and off-island.

 

Services Offered:
 
·      The Program Management Section is responsible for the financial and program management support; development, monitoring & evaluation of the program state plan, policies and procedures, operations, manuals, and rules and regulations.
 
·      The Operations Section (Benefits Coordination/Claims Processing) oversees the utilization control and claims processing unit, off-island referral coordination, and the benefit support unit.
 
·      The Quality Management Section is responsible for maintaining and developing the quality management of the Operation & Program Management Section and benefit coordination for prior authorization and medicaid fraud and control unit.
 
·      The Prior Authorization Section is responsible for the issuance of Prior Authorization of the medical services.
 
·      The Claims Intake Section is responsible for the intake of claims from participating providers.

ITC Building Ste 219 590 S Marine Corps Dr, Tamuning, GUAM, GUAM

1-671-735-7231/7243

1-671-734-6860

Monday, Tuesday, Wednesday, Thursday, Friday

08:00 AM

05:00 PM

Hours of Operation:

Monday through Friday (except Government of Guam holidays)
8:00am - 5:00pm (no break)


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