FAQs

The County of Los Angeles’ Physician Services to the Indigent Program (PSIP) uses monies received from the Tobacco Fund Initiative to reimburse physicians that provide services to the homeless or uninsured people in the County’s ER facilities. There are two major reimbursement programs - Trauma and Non-Contract Emergency.

Enrolling a Physician

Which hospitals are covered?
Download a pdf of the current hospital listing. Special Note: Only Pediatric and OB/GYN claims will be accepted for hospitals that do not appear on the current listing.

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First time - Enrolling a physician
In order to be reimbursed, the physician must fill out a Program Enrollment form and Conditions of Participation Agreement each year. It is also advised to send a copy of the provider’s current W9 along with the enrollment forms. The enrollment information will be sent to the County’s Auditor-Controller. The Auditor-Controller runs the Tax ID and Provider Name against the IRS Tax Table. If the Tax ID and Provider Name match, then they assign a special Vendor ID number to the Physician’s record. If the Tax ID and Provider Name DO NOT match, then the Provider will be contacted to provide additional information.

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Ongoing enrollment
Once a physician has enrolled in the PSIP Program, the physician will be able to re-enroll annually using this website. However, the County will require that the physician complete and send in the Conditions of Participation Agreement.

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Changed my address, what do I do?
If you have changed your payee address (where the RA and Check are sent), then you will need to provide on the physician’s letterhead the following:

  • your Tax ID,
  • the old address,
  • the new address,
  • the effective date of the new address,
  • a copy of your W9,
  • a copy of your enrollment form.

Fax this information to (562) 692-8689, attn: PSIP Physician Enrollment Dept.

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Changed my biller, what do I do?
If you have changed your biller and your payee address (where the RA and Check) will change, then you will need to provide on the physician’s letterhead the following:

  • your Tax ID,
  • the old biller and the old payee address,
  • the new biller and the new payee address,
  • the effective date of the change,
  • a copy of your W9,
  • a copy of your enrollment form.

Fax this information to (562) 692-8689, attn: PSIP Physician Enrollment Dept.

If you have changed your biller and your payee address will NOT be changing, then you will need to provide on the physician’s letterhead the following:

  • your Tax ID,
  • the effective date of the change in the biller.

Fax this information to (562) 692-8689, attn: PSIP Physician Enrollment Dept.

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Changed my Tax ID, what do I do?
If you have changed your Tax ID, then you will need to re-enroll in the program by filling out the Program Enrollment Form and Conditions of Participation Agreement. Also, include your new W9 and the effective date of the change. Fax this information to (562) 692-8689, attn: PSIP Physician Enrollment Dept.

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Billing the Program

When can I bill the program?
When the enrollment has been opened by the County, the physician has enrolled in the program and 3 months have passed from the date of service, you may bill the program. According to the PSIP Procedures, you must attempt to bill the patient 3 times (at least 90 days) before you bill the program.

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What are the Dates of Service considered for the PSIP fiscal year?
The fiscal year for the PSIP program spans from 7/1 through 6/30 of the next year. The DEADLINE for submission of claims is 10/31. Therefore, for the 2016/2017, the dates considered would be 7/1/2016 through 6/30/2017. The deadline for the 16/17 fiscal year would be 10/31/2017.

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For how many days of service can I be reimbursed?
Physicians providing emergency services to eligible patients may be reimbursed for services provided on the calendar day on which emergency services are first provided and the following two calendar days. For example: patient comes into emergency room on Monday. You may submit claims up to midnight Wednesday for reimbursement. EXCEPTION: Trauma physicians may submit claims for trauma services at County contract trauma hospital beyond this period.

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What is a CHIP form?
"CHIP" stands for California Healthcare for Indigents Program AND IS A MANDATORY FORM REQUIREMENT of the State of California for all claims submitted to the PSIP program. For more information on how to fill out the form correctly, please download the PSIP Data Collection Instructions.

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What is a TPS number?
The TPS is the Trauma Patient Service Identification Number that is assigned to TRAUMA patients seen at the County Trauma facilities. This number is assigned by the Trauma Coordinator at the Hospital and is updated on the Countywide Trauma Emergency Medical Indigent Service (TEMIS) Table. This table is used by AIA to process all Trauma claims. The table includes the Name, Sex, Date of Birth, Hospital of Treatment, Admission Date and Discharge Date and the Payor Source. All these components are checked when settling a Trauma Claim. The AIA system is updated at the beginning of every month with the most recent additions or changes to the TEMIS table.

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Can I send my claims electronically?
At this point, you may send your Inpatient and Emergency Room services claims electronically. (TRAUMA Claims will NOT be accepted electronically).

For ALL Electronic Billers, you will need to email aialapsip@mapinc.com for an assignment of your Submitter Identification Code. This three character code will identify you to the PSIP system and allow your claims to be updated quickly and securely.

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How can I get my manual claims processed faster?
Sort your HCFA & CHIP forms by Type of Claim. The four types are Trauma, ER Services, Inpatient and Outpatient. Once you have your 4 groups, then sort by Hospital where services were given. Finally, sort by Physician.

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I received a payment from another source. How do I refund the County Program?
Refund Policy.

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Rejected Claims

My claim was rejected, what do I do?
Click here for a listing of the standard reject codes and how to correct them.

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Checks and Remittance Advices (RAs)
The checks are issued directly from the County of Los Angeles’ Auditor-Controller’s Office. The RAs are mailed from AIA’s office once the checks have been issued. There may be a slight delay of 2 to 3 days between when the checks are mailed and the RAs are mailed.

I have a check, but no RA
The County requests that you wait 10 working days from the issuance of the check to allow the mail service to get your RA to the payee address on file. If after that time period you do not receive the RA, then:

  • Fax a copy of the check (including the bottom portion) to (562) 692-8689, Attn: RA Reissue Dept.
  • Please include your Tax ID, a contact name, fax number, phone number and email address. You will receive a fax, phone call or email within 2 working days.

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I have a RA but no Check
You will need to contact the Auditor-Controller’s office:

  • Fax a copy of the last page of the RA which shows the total amount paid and the check number to (213) 481-0262, attn: PSIP Check Research.
  • Please include a contact name, fax number and phone number.

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Claim Status via Internet

Can I check the status of my claims?
Direct access to the status of your claims is available through the Internet. Download the instructions & software requirements for connecting to the PSIP Claims System. The County also requires that each person who accesses the PSIP Claims System fill out a Confidentiality Agreement. This form must be FAXED and MAILED to AIA.

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Printing problems

Each of the documents indicated under Forms and Instructions has been generated using Adobe Acrobat. You must have Adobe Acrobat Reader installed to view and print the documents. Click here to download Adobe Acrobat Reader. The program extension for most of the documents will be PDF or FDF. If your program considers the file as FDF, please see the instructions below.

  1. Bring up Windows Explorer
  2. Click on TOOLS
  3. Click on FOLDER OPTIONS
  4. Click on the tab, FILE TYPES. A listing of all the extensions and the associated programs will appear
  5. Click on NEW and a File Extension window will appear. Enter FDF and Press OK. The window will close
  6. Next, go to CHANGE. A listing of programs will appear. Click on ADOBE ACROBAT
  7. A message will appear indicating that Adobe Acrobat will open files with the FDF extension. Click OK

It may be necessary to reboot your system.

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