Log In: User Name: * Password: *, The Exclusive Care plan is a self-funded and self-administered plan created by the County of Riverside to provide a high-value health plan option with lower premiums and copayments than other health plans. The plan offers broad coverage and low out-of-pocket expenses, but requires that participants seek services from the contracted health care …
Call the Exclusive Care main line at 1-800-962-1133 or visit their website at www.exclusivecare.com. Policies and Procedures. PRE-AUTHORIZATION • All visits must be pre-authorized by an EAS/Exclusive Care case manager. Failure to obtain pre-authorization will result in denial of claim payment.
Pre-Authorization is required, and a referral request form with a copy of the attached specific guidelines must be submitted for services that are beyond the normal Primary Care Physician’s (PCPs) scope of practice or services requiring treatment by a specialist, except routine screenings.
