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Leadership Team - Keenan Freeman, MBA

executive role, Mr. Freeman is responsible for the overall financial management of IEHP, its financial reporting and transparency, and for multiple plan financial functions including accounting, purchasing, capitation, cost recovery, risk management, and the coordination of fiscal and other operational audits. Mr. Freeman brings over 28 years of professional finance experience to IEHP which includes 16 years of strategic leadership in multiple functions including financial, operational and strategy development in a provider-owned health plan and a multi-specialty medical group with over 4,000 providers. Mr. Freeman served as Chief Financial Officer for Providence Medical Group in Oregon where he spent 5 years providing operational and financial leadership for over 1,200 physicians, physician assistants and nurse practitioners.  In addition, he served for eight years as Chief Financial Officer and two years as Chief Operational Officer for First Care Health Plans in Austin Texas. Mr. Freeman understands the importance of developing external relationships with key physicians, health systems, and governmental entities. He enjoys building cross-functional teams to achieve short and long-term objectives and values the importance of developing external relationships with key physicians, health systems, and governmental entities. Mr. Freeman’s leadership in these areas, and in the annual budget process, keeps IEHP financially stable amid healthcare changes and economic volatility. Mr. Freeman holds a Bachelor’s degree in Administration and Accounting and a MBA from Texas Tech University.

Latest News - ‘Hope is Alive’ Community Partnership Video PSA Earns 22 Health Care Advertising Awards

lan (IEHP), SAC Health (SACHS), Loma Linda University Health (LLUH), Ezra Productions and St. Paul African Methodist Episcopal Church (St. Paul AME) in San Bernardino has earned a total of 22 health care advertising awards.  Awards range from Merit, Bronze, Silver, Gold and Best of Show across organizations, including Healthcare AdAwards, Aster Awards, the Association of Marketing and Communication Professionals (Viddy Awards), American Advertising Federation’s Inland Empire Chapter and Telly Awards.  Aimed to provide education and resources to the region’s Black and Hispanic populations – who have the lowest COVID-19 vaccination rates and the highest virus and hospitalization rates – the partnership began in 2021 as a way for IEHP to reach and inform these community members.  “COVID hit Black and Brown communities like ours the hardest,” said St. Paul African American Methodist Episcopal Church (St. Paul AME) Pastor Steven D. Shepard Sr. “We often get looked over because we don’t have the assets or the finances that others have in their community.” With limited health care access and historical fears of modern medicine, community organizations knew that to save lives, they’d need to meet their residents where they were and provide them with trusted information, support and encouragement to get a COVID-19 vaccine. United With A Purpose The collaboration included gathering resources across IEHP, LLUH and SACH to organize COVID-19 vaccine clinics, grocery distribution events and community outreach in a familiar place: St. Paul AME Church. This work represented the shared goals for IEHP’s community partnerships with outreach and health services teams – all in support of the organization’s Mission: “We heal and inspire the human spirit.” Ezra Productions – through close collaboration with IEHP’s marketing-communication team for this inspiring story – captured the joint efforts, producing “Hope is Alive.” The public service announcement video served as a platform for the community and members of St. Paul AME Church to share their experiences about COVID-19, including acknowledging fears associated with the vaccine and the need for continued community collaboration. “We grew up not trusting anything the government wanted to give us,” said a St. Paul AME Church member, who sat next to her daughter during the interview. “I was born blind; I’m the product of the Tuskegee Experiment.” “I turned to her and said, ‘You know, it’s [the vaccine clinic] at the church and it’s with IEHP?’ and that’s when she said, ‘Sign me up,’” said the member’s daughter.  “To drive change forward, people need to be met right where they are,” said IEHP Chief Medical Officer Dr. Takashi Wada. “Heartfelt outreach, listening and partnering with trusted organizations in our community are key to making that happen. We’re grateful to continue developing and pouring into award-winning collaborations that enable us to care and support our Members in a way that makes sense to who they are as individuals.” Documenting the power of empathy, outreach and community support, “Hope is Alive” was judged by national panels who scored thousands of entries based on creativity, quality, message effectiveness, consumer appeal, graphic design and impact.  To learn more about IEHP, visit IEHP.org. Click here to watch the “Hope is Alive” video,  

IEHP Foundation

s of the Inland Empire Health Plan as its philanthropic arm.  We are seeking exceptional and visionary leaders to join our Board of Directors and help build our Foundation from the ground up. This is an extraordinary opportunity to leave a lasting, positive impact on the health of all who call the Inland Empire their home.   Much of the Foundation’s work will be centered around achieving what we call Vibrant Health for the Inland Empire. Vibrant Health means that our Members and the residents of the Inland Empire have access to a better, more joyful life because: Exposure to the root causes of ill health are significantly reduced. Core needs are increasingly met (e.g. food, shelter, safety) Health is equitably experienced across our diverse communities.  What is the board member commitment? Foundation Board members commit to regular attendance and thoughtful contributions to board and subcommittee meetings. Board Members also support our Mission by providing counsel and guidance to Foundation leadership on how to best meet the needs of those most vulnerable in our community and attendance at organization-wide events. On average, Board members will be expected to commit to attending quarterly board meetings along with two to three hours per month of Foundation-related activities. What are the preferred qualifications? Proven leadership Previous board experience (foundation/endowment preferred) Strong understanding of nonprofit finances and budgets Experience with outcome-driven goal setting and results Strong communicator and “out of the box” Personal or professional ties to the Inland Empire region Extraordinary ability to understand the vast needs of the Inland Empire and how best to meet them Ideal nominees may be community leaders, financial planners and corporate/private business leaders. Want to learn more about the IEHP Foundation and how they support Vibrant Health in the Inland Empire? Email us at Foundation@iehp.org.

Provider Manuals - 2023 Manuals

Provider Manual - Medi-Cal Provider Manual - IEHP DualChoice (HMO D-SNP) Summary of Effected Changes - Medi-Cal Summary of Effected Changes - IEHP DualChoice (HMO D-SNP) Benefit Manuals EDI Manual Regulatory Trainings 2023 Acknowledgement of Receipt Provider Manuals The Inland Empire Health Plan (IEHP) Provider Policy and Procedure is designed to help IEHP's Contracted Entities (Providers) understand how IEHP works and understand the rules and regulations IEHP must comply with, as governed by the California Department of Health Care Services (DHCS), California Department of Managed Health Care (DMHC), California Managed Risk Medical Insurance Board (MRMIB) and the Centers for Medicare and Medicaid Services (CMS). The provisions of these Provider Manuals must be adhered by all of IEHP's Providers. Provider Manual - Medi-Cal 00 - Table of Contents and Introduction (PDF) 01 - Organizational Structure (PDF) 02 - Committee Overview (PDF) 03 - Enrollment and Assignment (PDF)  04 - Eligibility and Verification (PDF) 05 - Credentialing and Recredentialing (PDF) 06 - Facility Site Review (PDF) 07 - Medical Records Requirements (PDF) 08 - Infection Control (PDF) 09 - Access Standards (PDF)  10 - Medical Care Standards (PDF) 11 - Pharmacy (PDF)  12 - Coordination of Care (PDF) 13 - Quality Management (PDF) 14 - Utilization Management (PDF)  15 - Health Education (PDF) 16 - Grievance and Appeals Resolution System (PDF) 17 - Member Transfers and Disenrollment (PDF) 18 - Provider Network (PDF)  19 - Finance and Reimbursement (PDF) 20 - Claims Processing (PDF) 21 - Encounter Data Reporting (PDF) 22 - Rights and Responsibilities (PDF) 23 - Compliance (PDF) 24 - Program Descriptions (PDF) 25 - Delegation and Oversight (PDF)  26 - Quick Reference (PDF) Summary of Effected Changes (PDF) - Published: September 30, 2022 (Back to top) Provider Manual - IEHP DualChoice (HMO D-SNP) 00 - Table of Contents and Introduction (PDF) 01 - Organizational Structure (PDF) 02 - Committee Overview (PDF) 03 - Enrollment and Assignment (PDF)  04 - Eligibility and Verification (PDF) 05 - Credentialing and Recredentialing (PDF) 06 - Facility Site Review (PDF) 07 - Medical Records Requirements (PDF) 08 - Infection Control (PDF) 09 - Access Standards (PDF) 10 - Medical Care Standards (PDF) 11 - Pharmacy (PDF) 12 - Coordination of Care (PDF) 13 - Quality Management (PDF) 14 - Utilization Management (PDF)  15 - Health Education (PDF) 16 - Grievance and Appeals Resolution System (PDF) 17 - Member Transfers and Disenrollment (PDF) 18 - Provider Network (PDF)  19 - Finance and Reimbursement (PDF) 20 - Claims Processing (PDF) 21 - Encounter Data Reporting (PDF) 22 - Rights and Responsibilities (PDF) 23 - Compliance (PDF) 24 - Program Descriptions (PDF) 25 - Delegation and Oversight (PDF)  26 - Quick Reference (PDF) Summary of Effected Changes (PDF) - Published: September 30, 2022 (Back to top) Benefits These Benefit Manuals are offered as guidelines to determine benefit eligibility and are not intended to be construed as or to serve as a standard of medical care, or as a contractual agreement for payment. Standards of medical care are determined on the basis of all facts and circumstances for each individual case. Benefit Manual Information The subheadings “Examples of Covered Benefits” and “Examples of Non-Covered Benefits” are meant to give specific examples but are not intended to be an all-inclusive list of examples, unless specified in the text of the benefit. 2023 Medi-Cal 2023 IEHP DualChoice (HMO D-SNP) and Plan Benefits and Cost Sharing  If a benefit question is not addressed in the Benefit Manual, please contact IEHP at (909) 890-2000 for further information. (Back to top) Electronic Data Interchange (EDI) The manual documents the procedures, protocols and formats for electronic data exchange between IEHP and its contracted Providers related to Member eligibility, encounter data, bed-day reporting, capitation reports and electronic claims submissions. The following sections document the processing schedules, file formats, procedures and narrative information that is necessary for Providers to understand and conduct electronic data exchange that is HIPAA compliant which is required under the IEHP Agreement. EDI Manual 00 - Table of Contents (PDF) 01 - General Information (PDF) 02 - Getting Started (PDF) 03 - Eligibility Processing Procedures (PDF) 04 - Encounter Data Processing Procedures (PDF) 05 - Capitation Processing Procedures (PDF) 06 - Claims EDI Processing Procedures (PDF) 07 - Timeframe and Schedules (PDF) 08 - IEHP 5010 837I Institutional IEHP DualChoice Encounter Companion Guide (PDF) 09 - IEHP 5010 837I Institutional Medi-Cal Encounter Companion Guide (PDF) 10 - IEHP 5010 837P Professional IEHP DualChoice Encounter Companion Guide (PDF) 11 - IEHP 5010 837P Professional Medi-Cal Encounter Companion Guide (PDF) 12 - IEHP 5010 837I Institutional Claims Companion Guide (PDF) 13 - IEHP 5010 837P Professional Claims Companion Guide (PDF) 14 - Authorization Data Exchange (PDF) 15 - IEHP 5010 834 Standard Companion Guide (PDF) 16 - IEHP 835 Standard Companion Guide (PDF) 17 - IEHP Misdirected Outbound Professional Claims Companion Guide (PDF) 18 - IEHP Misdirected Outbound Institutional Claims Companion Guide (PDF)  For comments, questions about this manual or technical support, contact the IEHP IT Help Desk at (909) 890-2025 or by email at: HELPDESK@iehp.org. (Back to top) Regulatory Trainings Code of Business Conduct and Ethics (PDF) Compliance Training (FWA, HIPAA Privacy and Security) (PDF) Cultural and Linguistics (C & L) Training (PDF) IEHP DualChoice (HMO D-SNP) Model of Care Training (PDF) (Back to top) 2023 Acknowledgement of Receipt Provider eAOR Providers are encouraged to attest electronically using the following recommended browsers: Google Chrome, Microsoft Edge, Mozilla Firefox How-To Guide for Provider eAOR (PDF) FAQs for Provider eAOR (PDF) Provider AOR (PDF) Hospital AOR (PDF) Delegate AOR (PDF) (Back to top)   You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.

Provider Manuals - 2022 Manuals

Provider Manual - Medi-Cal Provider Manual - DualChoice Cal MediConnect Summary of Effected Changes - Medi-Cal Summary of Effected Changes - DualChoice Cal MediConnect Benefit Manuals EDI Manual Regulatory Trainings 2022 Acknowledgement of Receipt Provider Manuals The Inland Empire Health Plan (IEHP) Provider Policy and Procedure is designed to help IEHP's Contracted Entities (Providers) understand how IEHP works and understand the rules and regulations IEHP must comply with, as governed by the California Department of Health Care Services (DHCS), California Department of Managed Health Care (DMHC), California Managed Risk Medical Insurance Board (MRMIB) and the Centers for Medicare and Medicaid Services (CMS). The provisions of these Provider Manuals must be adhered by all of IEHP's Providers. Provider Manual - Medi-Cal 00 - Table of Contents and Introduction (PDF) 01 - Organizational Structure (PDF)  02 - Committee Overview (PDF)  03 - Enrollment and Assignment (PDF)  04 - Eligibility and Verification (PDF) 05 - Credentialing and Recredentialing (PDF) 06 - Facility Site Review (PDF) 07 - Medical Records Requirements (PDF)  08 - Infection Control (PDF) 09 - Access Standards (PDF)  10 - Medical Care Standards (PDF) 11 - Pharmacy (PDF)  12 - Coordination of Care (PDF)  13 - Quality Management (PDF) 14 - Utilization Management (PDF)  15 - Health Education (PDF) 16 - Grievance and Appeals Resolution System (PDF)  17 - Member Transfers and Disenrollment (PDF) 18 - Provider Network (PDF)  19 - Finance and Reimbursement (PDF) 20 - Claims Processing (PDF) 21 - Encounter Data Reporting (PDF) 22 - Rights and Responsibilities (PDF) 23 - Compliance (PDF) 24 - Program Descriptions (PDF) 25 - Delegation and Oversight (PDF) 26 - Quick Reference (PDF) Summary of Effected Changes (PDF) - Published: September 30, 2021 (Back to top) Provider Manual - DualChoice Cal MediConnect 00 - Table of Contents and Introduction (PDF) 01 - Organizational Structure (PDF)  02 - Committee Overview (PDF)  03 - Enrollment and Assignment (PDF)  04 - Eligibility and Verification (PDF) 05 - Credentialing and Recredentialing (PDF) 06 - Facility Site Review (PDF) 07 - Medical Records Requirements (PDF) 08 - Infection Control (PDF) 09 - Access Standards (PDF) 10 - Medical Care Standards (PDF) 11 - Pharmacy (PDF) 12 - Coordination of Care (PDF) 13 - Quality Management (PDF) 14 - Utilization Management (PDF)  15 - Health Education (PDF) 16 - Grievance and Appeals Resolution System (PDF)  17 - Member Transfers and Disenrollment (PDF) 18 - Provider Network (PDF)  19 - Finance and Reimbursement (PDF) 20 - Claims Processing (PDF)  21 - Encounter Data Reporting (PDF) 22 - Rights and Responsibilities (PDF) 23 - Compliance (PDF) 24 - Program Descriptions (PDF) 25 - Delegation and Oversight (PDF) 26 - Quick Reference (PDF) Summary of Effected Changes (PDF) - Published: September 30, 2021 (Back to top) Benefits These Benefit Manuals are offered as guidelines to determine benefit eligibility and are not intended to be construed as or to serve as a standard of medical care, or as a contractual agreement for payment. Standards of medical care are determined on the basis of all facts and circumstances for each individual case. Benefit Manual Information The subheadings “Examples of Covered Benefits” and “Examples of Non-Covered Benefits” are meant to give specific examples but are not intended to be an all-inclusive list of examples, unless specified in the text of the benefit. 2022 Medi-Cal 2022 IEHP DualChoice Cal MediConnect Plan (Medicare - Medicaid Plan) and Plan Benefits and Cost Sharing  If a benefit question is not addressed in the Benefit Manual, please contact IEHP at (909) 890-2000 for further information. (Back to top) Electronic Data Interchange (EDI) The manual documents the procedures, protocols and formats for electronic data exchange between IEHP and its contracted Providers related to Member eligibility, encounter data, bed-day reporting, capitation reports and electronic claims submissions. The following sections document the processing schedules, file formats, procedures and narrative information that is necessary for Providers to understand and conduct electronic data exchange that is HIPAA compliant which is required under the IEHP Agreement. EDI Manual 00 - Table of Contents (PDF) 01 - General Information (PDF) 02 - Getting Started (PDF) 03 - Eligibility Processing Procedures (PDF) 04 - Encounter Data Processing Procedures (PDF) 05 - Capitation Processing Procedures (PDF) 06 - Claims EDI Processing Procedures (PDF) 07 - Timeframe and Schedules (PDF) 08 - IEHP 5010 837I Institutional IEHP DualChoice Encounter Companion Guide (PDF) 09 - IEHP 5010 837I Institutional Medi-Cal Encounter Companion Guide (PDF) 10 - IEHP 5010 837P Professional IEHP DualChoice Encounter Companion Guide (PDF) 11 - IEHP 5010 837P Professional Medi-Cal Encounter Companion Guide (PDF) 12 - IEHP 5010 837I Institutional Claims Companion Guide (PDF) 13 - IEHP 5010 837P Professional Claims Companion Guide (PDF) 14 - Authorization Data Exchange (PDF) 15 - IEHP 5010 834 Standard Companion Guide (PDF) 16 - IEHP 835 Standard Companion Guide (PDF) For comments, questions about this manual or technical support, contact the IEHP IT Help Desk at (909) 890-2025 or by email at: HELPDESK@iehp.org. (Back to top) Regulatory Trainings Code of Business Conduct and Ethics (PDF) Compliance Training (FWA, HIPAA Privacy and Security) (PDF) Cultural and Linguistics (C & L) Training (PDF) Guidelines for Care Management Training (PDF) (Back to top) 2022 Acknowledgement of Receipt Provider eAOR Providers are encouraged to attest electronically using the following recommended browsers: Google Chrome, Microsoft Edge, Mozilla Firefox How-To Guide for Provider eAOR (PDF) FAQs for Provider eAOR (PDF) Provider AOR (PDF) Hospital AOR (PDF) IPA AOR (PDF) (Back to top)   You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.

- Pharmacy

Dual Choice Cal MediConnect Plan (Medicare-Medicaid Plan).

- Urgent Care

HP Dual Choice Cal MediConnect Plan (Medicare-Medicaid Plan).

Community - Rad Rider

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Community - Mighty Fitnessa

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