Physician Portal

Patients with CHOC Health Alliance Insurance

For our patients who have CHOC Health Alliance Insurance – they require us to have our patient’s physician sign our reports stating they agree with our plan of care. Please be on the lookout for reports from this insurance type and send back to us timely to ensure a quick authorization turnaround.

Should I refer for Occupational Therapy or Physical Therapy?

Typically our Occupational Therapist will treat any upper extremity diagnosis including hands/wrists/arms/elbows. While our Physical Therapists are highly skilled in treating these body parts, we typically refer these diagnoses to our skilled Occupational Therapy team. If you have a patient with any upper extremity ailments, please refer them for Occupational Therapy and all others for Physical Therapy.

Should I refer to maXum's Pediatrics Clinic or Adults Clinic?

Typically we see patients 12 years and older at our Adults Clinic as long as they can follow typical instructions. If the patient has any type of neurological condition or is not typically developing, please refer them to our Pediatrics Clinic if they are under 18 – our Pediatrics Clinic specializes in developmental delays and neurological conditions with children and adolescents.

How does aquatic therapy work?

We treat offsite at the YMCA in Fullerton. Our therapists may or may not enter the water so we typically treat Adult patients only for safety purposes. If a child or adolescent is referred to participate we will evaluate them here in our clinic to see if they would safely benefit from our Aquatic Therapy services. Aquatic Therapy is typically in a group setting of 5-10 patients at a time working on exercises in a weightless environment.

I have a question about referring a patient and which CPT Billing codes I should request from the insurance

We require our evaluation CPT codes to be accurate before evaluating a patient. If a referral is sent to us with incorrect codes, scheduling the evaluation will be delayed. If a modification of the CPT codes in the authorization is needed, it can take 1-2 weeks to complete the process and we will ask you (the physician’s office) to assist with modifying the referral. We ask for your assistance with this modification because insurance companies require any alteration to come from the referring physician. Our codes vary based on type of insurance (Medi-Cal, Medicare, PPO, HMO, Workers’ Comp, etc). If you have questions regarding referrals and evaluation codes or authorizations please contact 714-646-8319 option 1 and ask to speak with our authorizations department.