Partnership Health Plan of California
Please follow the Enrollment Instructions below to become an electronic submitter for Partnership Health Plan of California. Please be advised, direct connections to Partnership Health Plan of CA are only available to providers or vendors with a substantial monthly volume. If you will not be sending a large number of claims, please register to submit your PHP claims via the Availity Clearinghouse. You can access the instructions on how to sign up for an Availity account here: ClaimShuttle - Availity Clearinghouse
To bill claims electronically directly to Partnership Health Plan (PHP) via ClaimShuttle, you will need to make sure you have software that can create 837's formatted according to Partnership's requirements. If you have software to create your claims, please contact the EDI Department of Partnership Health Plan of California at 707-863-4527 or email them at firstname.lastname@example.org. Let them know you would like to be a direct Submitter and obtain a Trading Partner ID (also referred to as a Submitter ID), you will not be using a clearinghouse or a billing service, and you also need an SFTP Login ID and Password. Please advise them you will be using ClaimShuttle by Axiom Systems to transmit claims, but we do NOT have a Trading Partner ID as we are just the connectivity service.
If you need software to create your electronic claims please call our sales department for a quote on our SolAce EMC billing software. Our phone number is 602-439-2525.
We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.
If Partnership states you must submit test claims please call us once you have received your Submitter ID and Password so we can schedule an appointment for a Mailbox setup and Test Transmission.
Please have 25 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.