At Balance by CCHP, we strive to offer our members (and prospective members) tools to get the most from their health plan. The links below will take you to various third-party websites which provide data and tools to help you choose the right doctor or hospital for your health care. Please note that you will exit the Balance website by clicking on these links below.
Finding In-Network Providers and Their Qualifications
To find doctors, hospitals, and other healthcare professionals in our network, you can use our online Provider Directory. The directory allows you to search for in-network providers by name, location, specialty, or facility. For each provider, you can view important details such as their name, office address, and telephone number, as well as professional qualifications. These include the provider’s medical specialty, medical school attended, residency completion, and board certification status, when available. This information is provided to help you choose a provider who best meets your healthcare needs.
Public Resources to Verify Provider Qualifications
In addition to using our Provider Directory, members may choose to verify a healthcare provider’s professional qualifications through publicly available and credible resources. These official databases are maintained by government agencies or recognized organizations and provide up-to-date information about a provider’s license status, credentials, and professional background. Using these resources can help members make informed decisions about their healthcare.
Helpful Resources (You are leaving CCHP website by clicking the links below):
This site allows you to verify a healthcare provider’s license status in California, including license type, expiration date, and any disciplinary actions.
This federal database provides information about providers’ National Provider Identifier (NPI), practice locations, and reported provider activity.
The Medical Board of California offers detailed information about physicians and surgeons, including license status, medical education, training history, and any enforcement actions.
DocInfo is a national database operated by state medical boards that provides physician background information such as education, board certification, and licensure across multiple states.
CMS Hospital Compare Program
Information about the quality of care at over 4,000 Medicare-certified hospitals, including over 130 Veterans Administration (VA) medical centers, across the country. You can use Hospital Compare to find hospitals and compare the quality of their care.
CMS Physician Quality Reporting System
A quality reporting program that encourages individual eligible professionals (EPs) and group practices to report information on the quality of care to Medicare. PQRS gives participating EPs and group practices the opportunity to assess the quality of care they provide to their patients, helping to ensure that patients get the right care at the right time.
The California Office of the Patient Advocate
The Office of the Patient Advocate provides information about health care quality which people can use to make informed decisions when choosing or managing their health care plans and providers. This website provides information to help you wade through our complex health care system.
Looking for Balance Providers?
Find a provider by plan and/or location with our find a provider tool.