Missing Claims Files

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Date: July 26, 2023
To: Health Plan of San Joaquin (HPSJ) Contracted Providers & Facilities
From: HPSJ
Type: Informational
Subject: Missing Claims Files
Business: Medi-Cal Managed Care

Health Plan of San Joaquin (HPSJ) has identified an issue with 837 claim files submitted between June 1, 2023, and July 21, 2023. Please be assured that our team is actively working on resolving this matter as quickly as possible.

To help us expedite the process and provide you with the most up-to-date information, we strongly encourage all providers to check the claim status in DRE (our online system) before reaching out to Customer Service.

Our team is diligently investigating the situation to ensure all claims are loaded and processed accurately and efficiently. We understand the importance of timely processing and will make every effort to expedite the resolution.


Medi-Cal Pharmacy (Rx) UpdateIf 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 of San Joaquin and our services is always available on our website https://www.hpsj.com/.

Posted on July 27th, 2023

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