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Rady Children's Health Network

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Welcome to the new Rady Children's Health Network website.

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RCHN Provider Manual

The policies and procedures in the manual are set forth by Rady Children’s Health Network at our sole discretion. When necessary, subsections may be updated with or without notice by RCHN at any time. It is the provider’s responsibility to review the Provider Manual for updates to our billing guidelines and other policies and procedures.

Provider ManualDownload

Rady Children’s Health Network Quick Reference Guide

Rady Children’s Health Network Quick Reference GuideDownload

Provider Forms

Below are the most frequently requested forms.

Utilization Management Forms

RCHN UM Processes – Tip Sheet
RCHN Prior Authorization Form
Affirmative Statement Signature Page

Claims Forms

RCHN Provider Dispute Resolution Form

Requests for Authorization of Referrals (.docx)

Circumcision Form 01.2026
Dermatology Acne Form 01.2026
Endo Short Stature Form 01.2026
ENT Consultation Form 01.2026
GI for Abdominal Pain Form 01.2026
GI for Constipation Form 01.2026
GI for Reflux Form 01.2026
MRI or CT for Headache Form 01.2026
Nutrition for Obesity Form 01.2026
Rheumatology Joint Pain Form 01.2026

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Rady Children's Health Network
Mail: 3020 Childrens Way MC 5077
San Diego, CA 92123
Tel: (877) 276-4543 (M–F 8:00 am–5:00 pm)
TDD/TTY users dial 711

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