|
|||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Medical Group |
Claim Type |
Claim Address |
Contact Information |
|---|---|---|---|
|
Hill Physicians Medical Group |
|
Hill Physician's Medical Group |
Ph: 800.445.5747 |
|
Hill Physicians Medical Group |
|
Dignity Health |
Mercy, Woodland, Methodist DME, UCD & Kaiser, Sac MidTown Oscopy Sutter facility, Apria DME Fax: 916.851.2718 |
|
Mercy Medical Group |
|
Dignity Health |
Ph: 916.379.2888 |
|
Mercy Medical Group |
|
Dignity Health |
Mercy, Woodland, Methodist DME, UCD & Kaiser, Sac MidTown Oscopy Sutter facility & Apria DME Ambulance & all other hospitals Fax: 916.851.2718 |
|
Woodland Clinic Medical Group |
|
Dignity Health |
Ph: 916.379.2888 |
|
Woodland Clinic Medical Group |
|
Dignity Health |
Mercy, Woodland, Methodist DME, UCD & Kaiser, Sac MidTown Oscopy Sutter facility, Apria DME Ambulance, all other hospitals Fax: 916.851.2718 |
|
NorthBay Medical Group |
|
Meritage Medical Network |
Ph: 415.884.1840 |
|
Providence Medical Network |
|
Providence Medical Network |
Ph: 714.937.6143 |
|
For Medicare members and their plan risk or out-of-area claims and/or direct Medicare member reimbursements, please submit them to: Western Health Advantage Mail Service EFT/835/ERAs |
|||
COMMERCIAL PLANS:
Medical Group
Claim Type
Claim Address
Contact Information
Hill Physicians Medical Group
(HPMG)
- Professional
Hill Physicians Medical Group
P.O. Box 8001
Parkridge, IL 60068-8001
Ph: 800.445.5747
Hill Physicians Provider Resources
Hill Physicians Medical Group
(HPMG)
- Hospital
- Facility
- DME
- Ambulance
Dignity Health
Attn: Capitation & Special Contracts
3400 Data Dr, 3rd Floor
Rancho Cordova, CA 95670
Mercy, Woodland, Methodist
Ph: 916.852.4040 Opt. #2
DME, UCD & Kaiser, Sac MidTown Oscopy
Ph: 916.851.2424
Sutter facility, Apria DME
Ph: 916.851.2264
Fax: 916.851.2718
Mercy Medical Group
(MCMG)
- Professional
Dignity Health
Attn: Mercy Prof Claims
3400 Data Dr, 1st Floor
Rancho Cordova, CA 95670
Ph: 916.379.2888
Fax: 916.379.2870
Mercy Medical Group
(MCMG)
- Hospital
- Facility
- DME
- Ambulance
Dignity Health
Attn: Capitation & Special Contracts
3400 Data Dr, 3rd Floor
Rancho Cordova, CA 95670
Mercy, Woodland, Methodist
Ph: 916.852.4040 Opt. #2
DME, UCD & Kaiser, Sac MidTown Oscopy
Ph: 916.851.2424
Sutter facility & Apria DME
Ph: 916.851.2264
Ambulance & all other hospitals
Ph: 916.851.2526
Fax: 916.851.2718
NorthBay Medical Group
(NBMG)
- Internal
- NorthBay Hospital
- VacaValley Hospital
- NorthBay Medical Group
NorthBay Healthcare
PO BOX 39000 Dept. 05221
San Francisco, CA 94139
Hospital Billing: 800.964.5104
Professional Billing: 800.964.5104
NorthBay Medical Group
(NBMG)
- External
- Non-NorthBay Healthcare
- Outside hospital
- Outside facilities
- Outside providers
- DME
- Ambulance
NorthBay Claims Department
PO Box 910
Fairfield, CA 94533
Ph: 707.646.3337
Fax: 707.646.4882
northbayclaimsdept@northbay.org
University of California Davis Medical Group
(UCMG)
- All
UC Davis Medical Center
Attn: Managed Care Operations
P.O. Box 179001
Sacramento, CA 95817
Ph: 916.734.9200 (billing)
Ph: 916.734.9900
Fax: 916.734.9972
Woodland Clinic Medical Group
(WCMG)
- Professional
Dignity Health
Attn: Woodland Clinic Prof. Claims
3400 Data Dr, 1st Floor
Rancho Cordova, CA 95670
Ph: 916.379.2888
Fax: 916.379.2870
Woodland Clinic Medical Group
(WCMG)
- Hospital
- Facility
- DME
- Ambulance
Dignity Health
Attn: Capitation & Special Contracts
3400 Data Dr, 3rd Floor
Rancho Cordova, CA 95670
Mercy, Woodland, Methodist
Ph: 916.852.4040 Opt. #2
DME, UCD & Kaiser, Sac MidTown Oscopy
Ph: 916.851.2424
Sutter facility, Apria DME
Ph: 916.851-2264
Ambulance, all other hospitals
Ph: 916.851.2526
Fax: 916.851.2718
Meritage Medical Network
(MNSR), (MNPV)
(MNHD), (MNQV)
- Professional
2100 S. McDowell Blvd.
Petaluma, CA 94954
Ph: 415.884.1840
Ph: 800.874.0840
Meritage Login
Meritage Medical Network
(MNSR), (MNPV)
(MNHD), (MNQV)
- Hospital
- Facility
- DME
- Ambulance
St. Joseph Heritage Healthcare
PO Box 70014
Anaheim, CA 92825-0027
Ph: 714.937.6143
Meritage Login
Meritage Medical Network
(MNMG), (MNSV)
- All
Meritage Medical Network
2100 S. McDowell Blvd.
Petaluma, CA 94954
Ph: 415.884.1840
Ph: 800.874.0840
Meritage Login
Providence Medical Network
(SJSR), (SJQV)
(SJHD, (SJPV)
- All
Providence Medical Network
PO Box 70014
Anaheim, CA 92825-0027
Ph: 714.937.6143
Providence Medical Network
Provider |
Claim Type |
Claim Address |
Contact Information |
|---|---|---|---|
|
Optum Behavioral Health |
|
UBH EDI: Payor ID 87726 |
All other members: |
|
Optum Behavioral Health |
|
UBH EDI: Payor ID 87726 |
|
Provider |
Claim Type |
Claim Address |
Contact Information |
|---|---|---|---|
|
Landmark Healthcare Inc. |
|
Landmark Healthplan of California, Inc. |
Ph: 800.298.4875 |
|
Medical Eye Services (MES) |
|
Medical Eye Services (MES) |
Ph: 800.877.6372 (opt 1) |
| EyeMed |
|
First American Administrators, Inc. Attn: OON Claims, PO Box 8504 Mason, OH 45040-7111 |
Ph: 877.226.1115 EyeMed |
|
HealthEquity |
N/A |
Please call |
Ph: 866.346.5800 |
|
Assist America |
N/A |
Please call |
Ph: 800.872.1414 |
|
Delta Dental |
|
Delta Dental, Claims Department |
Ph: 800.765.6003 |