The Claims Department is responsible for the timely and accurate payment of medical claims submitted to Partnership HealthPlan of California.
In addition to timely and accurate payment of medical claims, the department is responsible for the Claims Call Center, first and second level provider claim appeals, systems configuration related to benefits, edits, rates and coding, audits and recoveries (internal and external), and management of several vendors utilized by the department.
Looking for Coding Tips (Click here)
Electronic Claims Submission - Electronic Data Interchange:
Please submit claims electronically through Online Services. For Electronic Data Interchange (EDI) assistance,
contact the EDI team at (707) 863-4527 or visit the EDI page by clicking here.
Note: Mental Health Claims should be billed to Carelon Behavioral Health (formerly Beacon Health Options).
