Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.
claims
Paper claims mailing address and electronic payer IDs
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Phone
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Published hours
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Product, plan and location
Confirm the exact product or service California
Mailing addressScripps 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.
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Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.
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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.
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