Claims

The Claims Department is responsible for the timely and accurate payment of medical claims submitted to Partnership HealthPlan of California (PHC).

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.

 

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Electronic Claims Submission - Electronic Data Interchange (EDI):

Please submit claims electronically through Online Services. For 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 Beacon.

​Medi-Cal

Medi-Cal Provider Manual​

Billing Address

Partnership HealthPlan of California
Medi-Cal Claims
P.O. Box 1368
Suisun City, California 94585-1368

​Mental Health


Billing Address

Beacon Health Options                                          Partnership HealthPlan Claims                                          PO Box 1864                                                        Hicksville, NY 11802-1864