Welcome to the RCMG Provider Portal!

Dear RCMG Providers,


Thank you for your continued patience while Change Healthcare has continued to sort through their unfortunate cyber security event and begin to re-establish their connections with various carriers. It has been brought to our attention that Change Healthcare has posted on their website that their system is back up and running with RCMG as of 4/1/2024. Unfortunately, this is not accurate information. RCMG continues to make outreach attempts to Change Healthcare to restore the connection but has yet to be successful.


As previously noted in other communications, claims will be processed as of the receipt date. Should you decide to move forward with transitioning to Office Ally or submitting paper claims, please email providerservices@rcmg.com to request an ERA form after you've completed your agreement with Office Ally. Or you may submit your claims via paper to the RCMG mailing address:


River City Medical Group

PO Box 869145

Plano, Tx. 75086

 

Sincerely,

RCMG


**Please see updated RCMG News Below

RCMG has implemented 2 Factor Authentication. Please follow the steps below when you are prompted to enter a passcode. Please reach out to providerservices@rcmg.com for any questions.

To register for the portal, please follow these steps: 

1. Click on "New User Registration" 

2. Enter your user information     

    a. Email address (should be a work-related email address) 

    b. User names (your email address will auto-populate. Please ensure your Username is your first initial and last              name 

    c. Password and Confirm Password (password should contain at least one uppercase and one lowercase letter, one number, one special character 

    d. First Name and Last Name 

    e. Phone Number  

    f.  User Type                                                             

          i.   Provider: most commonly used. Please register for all NPI's affiliated with the providers and office     

          ii.   Vendor: May be used for Primary Care Practices only with multiple providers                                               

3. Select Company 

    a.  River City Medical Group 

4. Enter the Vendor (Group) ID or Name 

    a.  Search by the Vendor (Group) Tax ID (TIN), Vendor (Group) NPI and individual provider NPI's 

    b.  Select the Vendor (Group) /Provider

    c.  Click the right single arrow to move your selection to the "Selected Provider(s)"  

5. Enter the given Captcha code and click "Submit Request"  

    a.  If successful, a message will appear indicating an email has been sent for confirmation  

6. A request for registration confirmation will be sent to the email address provided 

    a.  Click the link to confirm that you registered for the Provider Portal  

7. Validated access must be granted prior to using the Provider Portal 

    a.  Access to the RCMG EZ NET Portal is not immediate. A RCMG administrator will validate the account and inform you of access approval once reviewed.

 
 
 
RCMG News

National Drug Codes


When billing a drug HCPCS code a National Drug code is required by River City Medical Group and the NDC must be a valid/active number as per the FDA for date of service being billed.


Vaccination and immunizations do not require an NDC but if you are going to bill an NDC then it has to be an active NDC on the date of service. 


If you bill an NDC that is not active it will deny with the following:


Claim Adjustment Reason Code: 16 - Claim/service lacks information or has submission/billing error(s).

Remittance Advice Remark Code: M119 - Missing/incomplete/invalid/ deactivated/withdrawn National Drug Code (NDC)



If you get this denial, then you will need to resubmit your claim based on RCMG corrected claim submission process


**New Claims Address Please use this address for any paper claims/claims inquiries effective June 15th, 2022

P.O. Box 869145

Plano, Tx. 75086


**New Claims Address Please use this address for any paper claims/claims inquiries effective June 15th, 2022

P.O. Box 869145

Plano, Tx. 75086


**ERA's and EOB's

RCMG is happy to announce the return of ERA's and EOB's! If you would like to enroll to receive ERA's, please email providerservices@rcmg.com for next steps on how to become enrolled.


**Self Service EOB's

RCMG will be transitioning claims EOB's to a new platform! If you are a current EZ NET user and download copies of your claims EOB's, please reach out to providerservices@rcmg.com to request access to the Report Library

Thank you!


Please visit the River City Medical Group website for information regarding CO-VID 19, Medicare, and more.
http://rcmg.com/


   


River City Medical Group makes utilization management decisions based on careful review of cases by medical professionals.  All medical decisions are made using evidence based guidelines. These guidelines are available upon request by calling 916-228-4300.

Each case is reviewed for appropriateness of care, verification of coverage and the allowable levels of benefits in the plan. River City Medical Group does not specifically reward practitioners or other individuals for issuing denials of coverage.  Furthermore, River City Medical Group does not offer financial incentives to utilization management decision makers to encourage decisions that would result in under-utilization of care.

RCMG Announcements
How to Use 2 Factor Authentication


  • When you log in to EZ-NET, you will be prompted to enter a passcode.
  • EZ-NET will send you an email with a 6-digit code.
  • Enter the code from the email. Ignore the QR code on the EZ-NET screen.
  • Each time you attempt to log in, you will be sent a new code.

Please contact providerservices@rcmg.com should you have any questions.



EZ-NET v6.7.0