Providers

 

Portal Access Form:

Portal Access Form.pdf

Referral Form:

DMIPA Referral Form 09.02.2022.pdf

 

How to submit claims:

Electronically with Payor ID: DMIPA

Mail to:

DMIPA
Claims Department
1020 S Garfield Ave.
Alhambra, CA 91801

MSO Exec Portal. If you need to request access click here

Interested in Joining DMIPA?

 Providers interested in becoming part of the AMDC, IPA network can email Contracting & Credentialing at
credentials@sandsmanagement.com

Online Portal Information

MSO Exec: https://sands.msoexec.com/

Don't have access? Click here to request access.