Independent physician associations

Scripps Health Plan Services

Phone, published email, fax, addresses and the next step for your office.

7 contact routesNo directory research calls placed

provider services

Customer service — eligibility, prior authorization questions, interpreters

Official page read

Phone888-680-2273Published email

providerrelations@scrippshealth.org

Published hours

Mon–Fri 8 am–5 pm

Product, plan and location

Confirm the exact product or service
California

Mailing address

Not researched for this route

Scripps Health Plan Services (MSO for Scripps Clinic and Scripps Coastal managed-care members) customer service and provider-relations email. TTY 711.

View source ↗ · Source checked 2026-10-24 · Phone 888-680-2273; SHPS provider assistance email ↗

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

fax prior auth

Authorization request form fax — routine and emergent

Official page read

Phone

No phone listed for this route

Fax

858-260-5861

Completed SHPS Authorization Request Form (routine).

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
California

Mailing address

Not researched for this route

SHPS Authorization Request Form (v2) lists ROUTINE fax (858) 260-5861 and EMERGENT (858) 260-5870; 'Fax to: Scripps Health Plan Services (858) 260-5861'. For information call (888) 680-2273. For emergent admissions/transfers SHPS directs callers to the Scripps Centralized Transfer Center.

View source ↗ · Source checked 2026-10-24

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fax prior auth

Authorization request fax — emergent

Official page read

Phone

No phone listed for this route

Fax

858-260-5870

Emergent authorization requests.

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
California

Mailing address

Not researched for this route

Emergent authorization request fax as printed on the SHPS Authorization Request Form.

View source ↗ · Source checked 2026-10-24

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claims

Paper claims mailing address and electronic payer IDs

Official page read

Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
California

Mailing address

Scripps Health Plan Services Attention: Claims PO Box 2079 La Jolla, CA 92038

Paper claims (commercial and Medicare).

Electronic claims: Change Healthcare payor ID 330099 or Office Ally payor ID SHPS1. Corrected claims need resubmission code 7 (CMS-1500 field 22 / UB-04 field 4) and the original claim number. Check SHPS's claims matrices for health-plan-specific routing.

View source ↗ · Source checked 2026-10-24

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appeals grievances

Provider dispute resolution (PDR)

Official page read

Phone

No phone listed for this route

Fax

858-260-5845

Completed PDR request form.

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
California

Mailing address

Scripps Health Plan Services P.O. Box 2079 La Jolla, CA 92038

Completed PDR request form.

For routine follow-up use the Claims Follow-Up Form rather than a PDR.

View source ↗ · Source checked 2026-10-24

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case management

Care management referrals

Official page read

Phone888-399-5678

Care management referral voicemail.

Fax

858-260-5834

Published email

shpsccmreferrals@scrippshealth.org

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
California

Mailing address

Not researched for this route

Referrals to SHPS Care Management for Scripps Coastal Medical Center and Scripps Clinic managed-care patients (Epic ambulatory order #210, email, voicemail or fax). Include MRN, patient name and reason.

View source ↗ · Source checked 2026-10-24

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

provider enrollment credentialing

Credentialing department

Official page read

Phone

No phone listed for this route

Published email

SHPSCRED@scrippshealth.org

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
California

Mailing address

Not researched for this route

Email for credentialing application status.

View source ↗ · Source checked 2026-10-24

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Scripps Health Plan Services

Customer service — eligibility, prior authorization questions, interpreters

Authorization request form fax — routine and emergent

Authorization request fax — emergent

Paper claims mailing address and electronic payer IDs

Provider dispute resolution (PDR)

Care management referrals

Credentialing department

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Suggest a correction

Found the contact. Still need to make the call?

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Scripps Health Plan Services

How did your call go?

Share a call experience

Suggest a correction

Found the contact. Still need to make the call?

Put payer follow-upon your office’s worklist.

See how it could work for your practice

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