Claim Submissions


MEDICARE ADVANTAGE PLANS:

For Medicare Advantage plan members, please submit most claims, including in-area claims, to the member’s assigned Medical Group or Hospital system as indicated:

Medical Group
Claim Type
Claim Address
Contact Information

Hill Physicians Medical Group
(HPMG)

  • Professional

Hill Physicians Medical Group
P.O. Box 8001
Parkridge, IL 60068-8001

Ph: 800.445.5747
Hill Physicians Provider Resources

Hill Physicians Medical Group
(HPMG)

  • Hospital
  • Facility
  • DME
  • Ambulance

Dignity Health
Attn: Capitation & Special Contracts
3400 Data Dr, 3rd Floor
Rancho Cordova, CA 95670

Mercy, Woodland, Methodist
Ph: 916.852.4040 Opt. #2

DME, UCD & Kaiser, Sac MidTown Oscopy
Ph: 916.851.2424

Sutter facility, Apria DME
Ph: 916.851.2264

Fax: 916.851.2718

Mercy Medical Group
(MCMG)

  • Professional

Dignity Health
Attn: Mercy Prof Claims
3400 Data Dr, 1st Floor
Rancho Cordova, CA 95670

Ph: 916.379.2888
Fax: 916.379.2870

Mercy Medical Group
(MCMG)

  • Hospital
  • Facility
  • DME
  • Ambulance

Dignity Health
Attn: Capitation & Special Contracts
3400 Data Dr, 3rd Floor
Rancho Cordova, CA 95670

Mercy, Woodland, Methodist
Ph: 916.852.4040 Opt. #2

DME, UCD & Kaiser, Sac MidTown Oscopy
Ph: 916.851.2424

Sutter facility & Apria DME
Ph: 916.851.2264

Ambulance & all other hospitals
Ph: 916.851.2526

Fax: 916.851.2718

Woodland Clinic Medical Group
(WCMG)

  • Professional

Dignity Health
Attn: Woodland Clinic Prof. Claims
3400 Data Dr, 1st Floor
Rancho Cordova, CA 95670

Ph: 916.379.2888
Fax: 916.379.2870

Woodland Clinic Medical Group
(WCMG)

  • Hospital
  • Facility
  • DME
  • Ambulance

Dignity Health
Attn: Capitation & Special Contracts
3400 Data Dr, 3rd Floor
Rancho Cordova, CA 95670

Mercy, Woodland, Methodist
Ph: 916.852.4040 Opt. #2

DME, UCD & Kaiser, Sac MidTown Oscopy
Ph: 916.851.2424

Sutter facility, Apria DME
Ph: 916.851-2264

Ambulance, all other hospitals
Ph: 916.851.2526

Fax: 916.851.2718

NorthBay Medical Group
Meritage Medical Network
(MNMG), (MNSV)
(MNQV), (NBMG)

  • All

Meritage Medical Network
2100 S. McDowell Blvd.
Petaluma, CA 94954

Ph: 415.884.1840
Ph: 800.874.0840
Meritage Login

Providence Medical Network
(SJSR), (SJQV)
(SJHD, (SJPV)

  • All

Providence Medical Network
PO Box 70014
Anaheim, CA 92825-0027

Ph: 714.937.6143
Providence Medical Network

For Medicare members and their plan risk or out-of-area claims and/or direct Medicare member reimbursements, please submit them to:

Western Health Advantage Mail Service
Attn: Claims Processing
PO BOX 14952
Salem, OR  07309

EDI/Electronic Claims:
    o Gateway/Trizetto/Cognizant - Payer ID 77230 
    o Office Ally - Payer ID 77220 
    o SSI Group - Payer ID 77235 
 

EFT/835/ERAs
(Electronic Payments)
Enrollment instructions are found on the paper remit you received

 

Medical Group
Claim Type
Claim Address
Contact Information

Hill Physicians Medical Group
(HPMG)

  • Professional

Hill Physicians Medical Group
P.O. Box 8001
Parkridge, IL 60068-8001

Ph: 800.445.5747
Hill Physicians Provider Resources

Hill Physicians Medical Group
(HPMG)

  • Hospital
  • Facility
  • DME
  • Ambulance

Dignity Health
Attn: Capitation & Special Contracts
3400 Data Dr, 3rd Floor
Rancho Cordova, CA 95670

Mercy, Woodland, Methodist
Ph: 916.852.4040 Opt. #2

DME, UCD & Kaiser, Sac MidTown Oscopy
Ph: 916.851.2424

Sutter facility, Apria DME
Ph: 916.851.2264

Fax: 916.851.2718

Mercy Medical Group
(MCMG)

  • Professional

Dignity Health
Attn: Mercy Prof Claims
3400 Data Dr, 1st Floor
Rancho Cordova, CA 95670

Ph: 916.379.2888
Fax: 916.379.2870

Mercy Medical Group
(MCMG)

  • Hospital
  • Facility
  • DME
  • Ambulance

Dignity Health
Attn: Capitation & Special Contracts
3400 Data Dr, 3rd Floor
Rancho Cordova, CA 95670

Mercy, Woodland, Methodist
Ph: 916.852.4040 Opt. #2

DME, UCD & Kaiser, Sac MidTown Oscopy
Ph: 916.851.2424

Sutter facility & Apria DME
Ph: 916.851.2264

Ambulance & all other hospitals
Ph: 916.851.2526

Fax: 916.851.2718

NorthBay Medical Group
(NBMG)

  • Internal
    • NorthBay Hospital
    • VacaValley Hospital
    • NorthBay Medical Group

NorthBay Healthcare
PO BOX 39000 Dept. 05221
San Francisco, CA 94139

Hospital Billing: 800.964.5104
Professional Billing: 800.964.5104

NorthBay Medical Group
(NBMG)

  • External
    • Non-NorthBay Healthcare
    • Outside hospital
    • Outside facilities
    • Outside providers
    • DME
    • Ambulance

NorthBay Claims Department
PO Box 910
Fairfield, CA 94533

Ph: 707.646.3337
Fax: 707.646.4882
northbayclaimsdept@northbay.org

University of California Davis Medical Group
(UCMG)

  • All

UC Davis Medical Center
Attn: Managed Care Operations
P.O. Box 179001
Sacramento, CA 95817

Ph: 916.734.9200 (billing)
Ph: 916.734.9900
Fax: 916.734.9972

Woodland Clinic Medical Group
(WCMG)

  • Professional

Dignity Health
Attn: Woodland Clinic Prof. Claims
3400 Data Dr, 1st Floor
Rancho Cordova, CA 95670

Ph: 916.379.2888
Fax: 916.379.2870

Woodland Clinic Medical Group
(WCMG)

  • Hospital
  • Facility
  • DME
  • Ambulance

Dignity Health
Attn: Capitation & Special Contracts
3400 Data Dr, 3rd Floor
Rancho Cordova, CA 95670

Mercy, Woodland, Methodist
Ph: 916.852.4040 Opt. #2

DME, UCD & Kaiser, Sac MidTown Oscopy
Ph: 916.851.2424

Sutter facility, Apria DME
Ph: 916.851-2264

Ambulance, all other hospitals
Ph: 916.851.2526

Fax: 916.851.2718

Meritage Medical Network
(MNSR), (MNPV)
(MNHD), (MNQV)

  • Professional
Meritage Medical Network
2100 S. McDowell Blvd.
Petaluma, CA 94954

Ph: 415.884.1840
Ph: 800.874.0840
Meritage Login

Meritage Medical Network
(MNSR), (MNPV)
(MNHD), (MNQV)

  • Hospital
  • Facility
  • DME
  • Ambulance

St. Joseph Heritage Healthcare
PO Box 70014
Anaheim, CA 92825-0027

Ph: 714.937.6143
Meritage Login

Meritage Medical Network
(MNMG), (MNSV)

  • All

Meritage Medical Network
2100 S. McDowell Blvd.
Petaluma, CA 94954

Ph: 415.884.1840
Ph: 800.874.0840
Meritage Login

Providence Medical Network
(SJSR), (SJQV)
(SJHD, (SJPV)

  • All

Providence Medical Network
PO Box 70014
Anaheim, CA 92825-0027

Ph: 714.937.6143
Providence Medical Network

Provider
Claim Type
Claim Address
Contact Information

Optum Behavioral Health
(Commercial)

  • Behavioral Health

UBH
PO Box 30757
Salt Lake City, UT 84130

EDI: Payor ID 87726


UCOP member only:
Ph: 800.888.2998

All other members:
Ph: 800.765.6820

Optum Behavioral Health
(Medicare Advantage)

  • Behavioral Health

UBH
PO Box 30760
Salt Lake City, UT 84130

EDI: Payor ID 87726


All members:
Ph: 855.857.9748

       
Provider
Claim Type
 Claim Address
Contact Information

Landmark Healthcare Inc.

  • Chiropractic
  • Acupuncture

Landmark Healthplan of California, Inc.
PO Box 981809
El Paso, TX 79998-1809

Ph: 800.298.4875
Fax: 888.565.4237
Landmark Healthcare Inc.

Medical Eye Services (MES)

  • Vision

Medical Eye Services (MES)
PO Box 25209
Santa Ana, CA 92799-5209

Ph: 800.877.6372 (opt 1)
MES Vision

EyeMed
  • Vision
First American Administrators, Inc.
Attn: OON Claims,
PO Box 8504
Mason, OH 45040-7111
Ph: 877.226.1115
EyeMed

HealthEquity
(HSA Savings Accounts)

N/A

Please call

Ph: 866.346.5800
Member Services Email

Assist America

N/A

Please call

Ph: 800.872.1414
Ph: 609.986.1234
Member Services Email

Delta Dental

  • Dental

Delta Dental, Claims Department
PO BOX 1810
Alpharetta, GA 30023

Ph: 800.765.6003
Delta Dental Login