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Date: September 5, 2019
To: Health Plan of San Joaquin (HPSJ) All Providers & Facilities
From: HPSJ Claims Department
Subject: Paper Claims Submission – Address Change
Business: Medi-Cal Managed Care

Health Plan of San Joaquin (HPSJ) will have a new mailing address for initial and corrected paper claim(s) submissions. Effective October 1, 2019 all paper claim submissions should be mailed to the following:

Health Plan of San Joaquin (HPSJ)
Paper Processing Facility
P.O. Box 211395
Eagan, MN 55121

Reminder: All claims should be submitted electronically, unless required documentation is
needed to process claim.

Find our EDI vendor information through one of the following:

1. Office Ally
Payer ID: HPSJ1

2. Change Healthcare (EMDEON)
Payer ID: 68035

If you have questions, please contact our Customer Service Department at 209-942-6320.