All claims submitted to SCFHP must be sent electronically through a clearinghouse that has a contractual relationship with SCFHP's clearinghouses (Change HealthCare and OfficeAlly) using payor ID 24077, in HIPAA standard ASC X12N 837 (005010X222) Professional and ASC X12N 837 (005010X223) Institutional transactions, ...

We provide access to healthcare for individuals and families in Santa Clara County, including affordable health insurance coverage through California's Medicaid program, known as Medi-Cal.

Our Customer Service can help you learn more about our SCFHP Medi-Cal Plan and how to make it work for you. Call Customer Service at 1-800-260-2055 (TTY: 711), a.m. to 5 p.m., Monday through Friday.

We provide access to healthcare for individuals and families in Santa Clara County, including affordable health insurance coverage through California's Medicaid program, known as Medi-Cal.

Starting January 1, 2024, Kaiser Permanente (Kaiser) will no longer be a contracted provider network of Santa Clara Family Health Plan (SCFHP). This is because Kaiser will have a direct contract with the California Department of Health Care Services (DHCS) in Santa Clara County and be their own Medi-Cal health plan.

Ways to renew your Medi-Cal Online. The quickest and easiest way to complete your renewal is online through BenefitsCal. 2. Mail. Follow the instructions on your renewal form. Phone. Find your local Medi-Cal office phone number. In Person. Visit your local Medi-Cal office for help submitting your renewal package.

SCFHP DualConnect is a Dual-Eligible Special Needs Plan (HMO D-SNP) for people who are eligible for both Medicare and Medi-Cal. SCFHP DualConnect coordinates all your Medicare and Medi-Cal benefits – and even Medicare Part D drug benefits – so you don't have to do the juggling.

Timely filing deadline SCFHP requires claims to be submitted within one year of the date of service. SCFHP may deny a claim that is submitted beyond the claim filing deadline. Secondary claims may be submitted within one year of the primary payor's EOB date.

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Complete your renewal form (if you get one). Medi-Cal eligibility is based mainly on your income.Medi-Cal has no sign-up period, you can apply at any time. What does the Clerk's Office accept as proof of insurance? Fill out the IMR application. Note that you are allowed to attach supporting documents to this application. Step 1: Fill out a Medical Claim Reimbursement Form. The Forms and Resources page is designed to make it easier for VHP members to file a claim, appeal a denial of benefits, and learn more about their coverage. Your Form 1095B is proof of healthcare insurance for the IRS and does not require completion or submission to DHCS. Please keep this form for your records.

Letter Insurance Form For Insurance In Santa Clara

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