September 2019 – Claims corner newsletter

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NEW Mailing Address (Provider Alert 9.5.2019)

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

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

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)

Questions? HPSJ Customer Service, 209-942-6320.

Cactus Application Manager—UPDATE

This is the robust and comprehensive software solution we told providers about this past summer. Cactus is now providing automated credentialing, quality improvement, and risk management. It offers cloud-based access, speeds up processes, tightens security, improves workflow, and reduces paper burden.

Thank you very much for being our partner in our commitment to provide safe and quality care to our members. We hope you already are experiencing this simplified, less error-prone process for gathering provider data.

For any Credentialing questions or concerns, please contact the following:

  • Mae Cayetano, Lead Credentialing Specialist
  • Tami O’Reilly, Credentialing Specialist
  • Alejandra (Alex) Chavez, Credentialing Specialist

Posted on September 30th, 2019