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WHAT DO I DO IN CASE OF AN EMERGENCY? HOW DO I FIND OUT WHO MY PRIMARY CARE PHYSICIAN (PCP) IS? WHAT HOSPITALS ARE ADOC AFFILIATED WITH? URGENT CARE WHAT ARE THE URGENT CARE FACILITIES AFFILIATED WITH ADOC? WHERE ARE ADOC DOCTORS LOCATED? WHAT IS AN AUTHORIZATION FOR MEDICAL SERVICES? HOW DOES THE AUTHORIZATION PROCESS WORK? DO I NEED A REFERRAL TO SEE A SPECIALIST? I HAVE A QUESTION AND I AM UNABLE TO FIND AN ANSWER HERE?
WHAT DO I DO IN CASE OF AN EMERGENCY? Life-Threatening Emergencies
PLEASE CALL 911, for life threatening emergencies such as:
• Chest pain;
• Loss of consciousness; or
• Major trauma Adults
Please go to the Emergency Room (preferably to a hospital affiliated with ADOC) if:
• If have experienced broken bones;
• Severe asthma;
• Deep lacerations;
• Severe abdominal pain Children
Please go to the Emergency Room (preferably to a hospital affiliated with ADOC) if the child is:
• Choking or experiencing shortness of breath;
• Diarrhea and vomiting;
• Not urinating;
• Under three years old with fever greater than 101?;
• Fever and difficulty waking up or is very sleepy
Needs Medical Attention, But Does Not Require Emergency Room
Health conditions such:
• Suspected urinary tract infections;
• Repeated nausea and vomiting;
• Other conditions that you think cannot wait until your doctor’s office is open Please call your PCP as he or she may prescribe medications, see you in the office the next day, or direct you to an Urgent Care Facility.
HOW DO I FIND OUT WHO MY PRIMARY CARE PHYSICIAN (PCP) IS?
The name of your PCP is normally located on the front of your health plan subscriber’s card along with his or her telephone number.
WHAT HOSPITALS ARE ADOC AFFILIATED WITH?
- Anaheim Memorial Hospital
- Coastal Communities Hospital
- Fountain Valley Regional Hospital
- Garden Grove Hospital
- Irvine Regional Hospital
- Los Alamitos Medical Center
- Western Medical Center Santa Ana
- Western Medical Center Anaheim
URGENT CARE
If experiencing minor lacerations, sprains, auto accident with no apparent injury, call your Primary Care Physician (PCP) for directions to an ADOC Urgent Care Center.
WHAT ARE THE URGENT CARE FACILITIES AFFILIATED WITH ADOC? Facility: Address & Hours of Service: ASHER FAMILY CARE
947 S. Anaheim Blvd., #270, Anaheim, CA 92805
(714) 535-1415 (714) 535-1416 Fax
Hours: Mon-Fri. 5:00PM - 9:00PM
Sat 9:00AM to 9:00PM
Sun 9:00AM - 3:00PM FAMILY HEALTH CENTER
17071 Springdale Avenue
Huntington Beach, CA 92649
(714) 377-9333 (714) 377-3964 Fax
Hours: Mon, Tue, Thur 8:00 AM - 7:00 PM
Wed, Fri 8:00AM - 6:00PM
Sat 9:00AM - 1:00PM GATEWAY URGENT CARE
1303 N. Euclid Street
Anaheim, CA 92801
(714) 778-3838 (714) 778-1962 Fax
Hours: Mon-Fri 5:00PM - 10:00PM
Sat, Sun 9:00AM - 5:00PM HUNTINGTON BEACH URGENT CARE
17752 Beach Blvd, Ste.203
Huntington Beach, CA 92647
(714) 841-1040 (714) 841-1031 Fax
Hours: Mon-Fri 5:00PM - 8:00PM
Sat, Sun 9:00AM - 6:00PM MED-ONE URGENT CARE
8970 Warner Avenue
Fountain Valley, CA 92708
(714) 848-7757 (714) 848-7760 Fax
Hours: Mon-Fri 9:00AM – 7:00PM
Sat 9:00AM – 4:00 PM NEWPORT CHILDREN’S MEDICAL GROUP
1401 Avocado Street, Ste 802
Newport Beach, CA 92660
(949) 644-0970 (949) 644-0774 Fax
Hours: Mon-Fri 5:00PM-7:00PM
Sat 8:30AM – 1:30PM
Sun 8:30AM – 1:30PM SOUTH COAST PEDIATRICS
2650 S. Bristol Street, Suite 101
Santa Ana, CA 92704
(714) 754-1444 (714) 754-7009 Fax
Hours: Mon-Fri 6:00PM - 9:00PM
Sat 9:00 AM - 5:00PM
Sun 12:00 PM - 5:00PM SUNRISE MULTISPECIALTY CENTER
867 S. Tustin Avenue
Orange, CA 92866
(714) 771-1420 (714) 771-6918 Fax
Hours: Mon-Fri 5:00PM - 10:00PM
Sat, Sun, Holidays 9:00AM - 5:00PM WILLOW URGENT CARE
2704 East Willow Street
Signal Hill, CA 90755
(562) 595-0203 (562) 595-0062 Fax
Hours: Mon-Fri 8:00 AM - 8:00 PM
Sat, Sun, Holidays 9:00 AM - 5:00 PM URGIKIDS URGENT CARE CENTER
1190 Baker Street, #100
Costa Mesa, CA 92626
(714) 668-2540 (714) 668-2541 Fax
Hours: Mon-Fri 6:00 AM - 9:00 PM
Sat, Holidays 9:00 AM - 9:00 PM Important Information:
Access to Urgent Care Facilities during business hours, that is 8:00 AM to 5:00 PM require authorization by ADOC. If urgent care (non-emergent care) is needed after-hours, please contact an ADOC Case Manager at 1-(800)747-ADOC or 1-(800)747-2362 for further directions.
WHERE ARE ADOC DOCTORS LOCATED?
Our group of more than 275 private physicians and 600 specialists are conveniently located throughout the greater Orange County area. Click here to select or switch to an ADOC primary care physician.
WHAT IS AN AUTHORIZATION FOR MEDICAL SERVICES?
An authorization, also known as a pre-certification, is a review process where ADOC healthcare nurses and/or Medical Directors work with your physician to determine:
1) Whether a procedure, treatment or service is a covered benefit; and
2) Whether a procedure is medically necessary
HOW DOES THE AUTHORIZATION PROCESS WORK?
ADOC requires that an authorization number be obtained for most medical services, including hospital admissions. When a request for an authorization number comes to ADOC from your provider, the Utilization Management Department of ADOC evaluates the request using nationally recognized guidelines to assist in the review. These guidelines are consistent with sound clinical principals and processes and have been developed with involvement from actively practicing health providers. ADOC determines what services are covered based on your plan benefits and using these guidelines. When guidelines do not exist, clinical resource tools based on clinical evidence are used.
DO I NEED A REFERRAL TO SEE A SPECIALIST?
Generally yes, however there are a few exceptions, depending upon your health plan benefits. Open Access is available for any ADOC-contracted Gynecologist (OB/GYN).
I HAVE A QUESTION AND I AM UNABLE TO FIND AN ANSWER HERE?
If you would like more information about ADOC, or need assistance in selecting or switching to an ADOC primary care physician, please do not hesitate to contact our Customer Service Department at (800) 747-ADOC or (800) 747-2362, option #2. You may also e-mail your questions to us at
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