Implementation of Automated 835 Files
| Date: | September 30, 2024 |
| From: | Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) |
| To: | Health Plan Providers |
| Type: | Informational |
| Subject: | Implementation of Automated 835 Files |
| Business: | Medi-Cal Managed Care |
Health Plan is pleased to announce an important update to the distribution process of the 835 Electronic Remittance Advice (ERA) files. We now have implemented an automated process to streamline the delivery of 835 files using Smart Data Solutions (SDS).
This enhancement will ensure that you receive your 835 files faster and more efficiently. The new process operates as follows:
Regular Check Run:
After each check run, your 835 files are automatically generated and distributed to our clearinghouse partner, SDS. To receive your 835 files, instructions are below:
- If you want to use SDS: Reach out to your existing clearinghouse vendor and ask them to add connection to SDS for Health Plan under Payer Enrollment using Payer ID: 68035 or visit sdata.us and select the Provider Portal link at the top of the webpage. Once there, you can log in if you have an account or you can register for a new account.
For the SDS Provider Portal Companion Guide, you can access it here https://sdata.us/what-we-do/clearinghouse/smart-data-stream-provider-portal/.
We have also partnered with another clearinghouse, TriZetto/Cognizant, who can deliver 835 files to those who are already signed up or choose to sign up with them as their clearinghouse.
- If you want to use TriZetto: You must be signed up with TriZetto before Health Plan can deliver your 835 files. For new users and to sign up, visit:
https://www.trizettoprovider.com/health-plan-of-san-joaquin-new-user-form. For existing users, please contact TriZetto to arrange delivery of 835 files from Health Plan.
Coming Soon:
We are working to provide you with access to EFT payments and will provide you updates on this process.
If you have any further questions, please contact your Provider Services Representative, or call our Customer Service Department at 1-888-936-PLAN (7526). You may also visit https://www.hpsj.com/alerts/ for online access to the documents shared. The most recent information about Health Plan and our services is always available on our website www.hpsj-mvhp.org
