Santé Physicians

Claims and claim status

Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.

claims

Commercial and Medicare Advantage HMO claims

Official page read
Phone855-608-9019Published hours

Not published in this record

Product, plan and location

commercial · medicare advantage
California

Mailing address
Santé Physicians (HMO name), P.O. Box 1507, Fresno, CA 93716-1507

HMO paper claims; include the actual HMO name. Some POS claims apply only when the member uses the HMO component.

Current linked Operations PDF, pages 18–19. Page 19 was visually reviewed. The same document retains older specialty-drug policies, which are not imported as current benefit rules. Physician-owned California IPA administered by Santé Health System. The current site describes its network in Fresno, Madera and Kings counties. HMO delegation and individual plan/physician participation require confirmation; Santé is not the insurance carrier.

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Help the next office

How did your call go?

Share a structured call experience or flag a contact correction. Submissions are reviewed before publication. Patient details, recordings and documents do not belong here.

Share a call experience

Share a call experience

Suggest a contact correction

Suggest a correction

Call preparation · editorial guide

Make the call count.

Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.

Have ready in your secure workspace

  • Claim number, service dates and billed amount
  • Submission acknowledgement and remittance
  • Provider billing identifiers

Questions to resolve

  • Was the claim received and accepted for processing?
  • What specifically prevents payment or final processing?
  • Is a corrected claim, reconsideration or appeal the right route?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

For healthcare offices

Found the contact. Still need to make the call?

Explore how DialClerk organizes the brief, hold time and staff handoff for your next administrative call.

For the people making the calls

Put payer follow-up
on your office’s worklist.

Explore DialClerk for queued calls, hold handling, staff handoffs and a record of the next step. Tell us how your team works.

A request does not create an account or start a call. Use business contact information only. No patient information.

See how it could work for your practice