Why Should I Join Riverside Physician Network? As a member of Riverside Physician Network, you have the option of selecting a Riverside Physician Network doctor at an office in your neighborhood. You can visit your primary care physician as often as necessary. Look to your physician partner to provide you not only with routine care that helps keep you healthy and well, but to coordinate any medically necessary and covered specialty care should the need arise. When you see your physician, a co-payment is all that may be required at the time of your visit. The Co-payment amount, if there is one, is determined by your health plan. When you need other services or specialty care, you'll have access to RPN's broad network, convenient after-hours care, disease management programs, health education, laboratory, radiology, highly qualified specialists, premier hospital partners and more! How Do I Enroll? If you are not already a member, joining is probably easier than you think because most health plans include Riverside Physician Network doctors in their provider networks and you may be able to choose your RPN physician with just a phone call.

1 Select a Primary Care Physician from the your health plan’s Provider Directory. 2 Contact your health plan with the toll-free number provided on your membership card or call Riverside Physician Network Member Services at 951-788-9800. 3 A health plan representative or our staff will be able to assist you through the process. 4 Please make sure that you request RIVERSIDE PHYSICIAN NETWORK as your choice of medical group.

Should you have questions concerning Riverside Physician Network, we invite you to contact our Customer Service Department to speak to one of our friendly representatives. Thank you for choosing our physicians. We look forward to servicing your medical needs.

Riverside Physician Network's procedures for reviewing appropriateness of care are aimed at promoting quality of care and efficiency within the health care delivery process. We recognize the need for concern about the potential for under-utilization and appropriate review, which includes but is not limited to bed day data reports, length of stay reports, pharmacy usage reports and data on member concerns regarding access to services.

As a matter of policy, associates who make utilization management coverage decisions for Riverside Physician Network may not be compensated or given other incentives to make decision. Utilization decision making is based solely on medical necessity, appropriateness of care and service and existence of coverage.

Riverside Physician Network does not specifically reward practitioners or other individuals for issuing denials of coverage or service care.

For any questions or to request a paper copy, please contact us toll-free at 877-776-8066.