AIG PROVIDER NETWORK RULES for CALIFORNIA
Provider Selection
Medical Provider Network (MPN): If the employer has implemented a Medical Provider Network (MPN), the employer will direct the employee's medical care to a network provider (unless the employee has predesignated). The employee may change treating physicians, but only within the MPN. If there is no MPN, the employer may direct medical care to AIG's preferred provider network for thirty (30) days from when the employer knows of the injury (unless the employee has predesignated his personal physician). Thereafter, the employee may obtain medical treatment outside of the Preferred Provider Network (PPO).

Predesignation:To predesignate a physician, the employee must have healthcare coverage (for non-work related injuries or illnesses). The employee is required to notify his employer (in writing prior to the date of injury) that he wishes to be treated by his personal physician (M.D or D.O), and the physician would have to agree to be predesignated.

Provider Lists
Medical Provider Network: Provider postings are permitted, and the employee may request access to the complete MPN. Access is available at this web-site, or by contacting the employer or the Pre-Injury Consultant at AIG Claims, Inc. at 877-802-5246 or the Medical Access Assistant at 855-803-0363.

If you would like to request an electronic copy of any notification regarding the MPN that is required to be given to an employee, please email pic_ng@aig.com.

Managed Care Options
California Senate Bill 899 allows for the provision of a Medical Provider Network plan, and in addition to a medical provider network, the MPN plan allows for a process for second and third opinions, transfer of ongoing care, continuity of care, and independent medical review.

Medical Provider Network Employee Notification (English)
Medical Provider Network Employee Notification (Spanish)

Utilization Management and Review
The law allows for Utilization Management, Review and Managed Care options. Chiropractic, occupational therapy, and physical therapy visits are capped at 24 visits each.

California Utilization Review Plan

Medical Provider Network:	AIG/Northrop Grumman
Medical PPO Network:	The Coventry Integrated Network
Pharmacy Network:	Tmesys-800-964-2531
Durable Medical Equipment:	One Call - (866) 859-4672 or Optum - (800) 617-9831
Transportation, Translation:	One Call - (866) 859-4672
Physical Therapy, Occupational Therapy, Chiropractic:	Align Networks-866-859-4672
Diagnostics:	One Call - 866-859-4672

Utilization of a provider listed or a scheduling service does not indicate that those services are compensable under the Workers' Compensation program. The information contained on this page has been compiled from sources believed to be reliable. No warranty, guarantee or representation, either expressed or implied, is made by AIG as to the correctness or sufficiency of these state rules. AIG has included these rules for information purposes only. These rules should not be relied upon in reaching any decisions regarding managed care. The user assumes full responsibility for verification of these rules.

Employee Education
Employee education facilitated through the AIG Claims, Inc. Shared Services / Pre Injury Consultant