Coastal TPA, Inc. is pleased to provide a self service online tool, which is HIPAA compliant for patient privacy, and provides you with free online access to your benefit information. Take a minute and review the exciting online services available to you.

Member/Provider Log-in:

Username: Password:  

System features allow members to:

View paid claim information
Check eligibility status
Retrieve the summary plan description
Access to online customer service
Verify provider participation
And much, much more!

Coastal Management Team

At Coastal, we owe our long-term success and sustainable results to our people. Led by healthcare strategists, our team is comprised of notable experts in the field who have a wealth of knowledge and hands-on involvement to efficiently manage the intricacies of healthcare administration, such as provider credentialing, contracts, and claims administration.

Deborah (Debi) Hardwick

President and Chief Executive Officer

Debi brings over forty years of managed care experience to Coastal Management Services. She is knowledgeable in all aspects of the healthcare industry, including claims administration and adjudication, physician peer review, hospital utilization, provider and service contracts, account analysis, financial reconciliation, auditing, and marketing.

Prior to her position as President/CEO of the Coastal companies, Debi served as Executive Director of the Health Care Foundation of San Mateo County, Inc. As part of that organization she also held positions as Assistant Executive Director/Claims Manager, Claims Supervisor, and Medical Claims Analyst. Debi is a former CEO of the California Foundation for Medical Care and former Assistant Executive Director of Mid Peninsula Medical Review Organization. As Utilization Review Coordinator for Mills-Peninsula Hospitals, she developed the first California Utilization Review System for Medi-Cal recipients.

Shari Griffin

Director, Network Management

As Director of Network Management, Shari strives to provide excellent customer service to over 8,200 contracted providers. She is the key contact person to assist hospital and office billing staff with payor contract issues. With over 15 years of experience with the Coastal Companies, Shari has a thorough understanding of the standards of the National Committee for Quality Assurance (NCQA).

Prior to her current position, Shari held the Office Manager and Accounts Receivable/ Payable position for our Client's Claims Accounts. In that role, she was responsible for clients funding, bank reconciliations and the upkeep for all office machines, equipment and supplies.

Grace Montemayor

Claims Manager

With over 17 years of health care experience, Grace is well versed in claims administration and medical claims management, integrating PPO contracts, utilization and case management needs and protocols.

With her focus on quality control, Grace provides the necessary experience to train and audit her team member's claims and is committed to improving performance levels and client/member satisfaction.

Grace joined the Coastal team in 2006 as a Customer Service Representative, moved into a claims analyst position, prior to her promotion as Coastal's Claims Manager.

 

© 2012, Coastal Management Services

Customer Service: (831) 754-3800 | Toll Free: (800) 564-7475

Website Design: Byte Technology