Claims Look-Up Tool – For Non-Contracted Providers

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Date: May 18, 2021
To: Health Plan of San Joaquin (HPSJ) Contracted and Non-Contracted Providers
From: Health Plan of San Joaquin
Subject: Claims Look-Up Tool – For Non-Contracted Providers
Business: Medi-Cal Managed Care

Health Plan of San Joaquin (HPSJ) has a helpful tool, outside of the provider portal, for
contracted and non-contracted providers to track claims in real-time.

Looking up claims is easy:

  1. Go to https://www.hpsj.com/form-view/43
  2. Complete the HIPAA Disclosure Agreement
  3. After sending the Agreement, you will be routed to the Claims Look-Up Tool
  4. Search the status of as many claims as needed

Data you can search in the Claims Look-Up Tool:

  • Claim Number
  • Status
  • Receive Date
  • Process Date
  • Amount Paid
  • Check Number
  • Denial Reasons

Full details also are available on your Remittance Advice.

Claims Look-Up Tool – For Non-Contracted ProvidersIf you have questions, you may contact the Customer Service Department at 209-942-6320. For more support, please bookmark HPSJ’s Non-Contracted Providers section, at
https://www.hpsj.com/non-contracted/

Posted on May 18th, 2021 and last modified on September 8th, 2022.

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