| 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
866-575-4120
2. Change Healthcare (EMDEON)
Payer ID: 68035
877-469-3263
If you have questions, please contact our Customer Service Department at 209-942-6320.