Billing Information

Medical Claims Submission

VHP must receive claims and encounter data from contracted providers within ninety (90) days from the date of service. VHP has 45 working days from the date of receipt to reimburse, contest, or deny a claim.

All paper claims for covered services provided to eligible Members must be submitted on CMS 1500 Form (for all professional services, durable medical equipment (DME) and supplies and Laboratory Services) or on UB 04 Form (for all institutional facility charges inpatient/outpatient). All claim forms and claim-related documents, and disputes, must be signed and dated by the provider or a designee.

Claims must be sent to the appropriate address listed below.

    Please mail claims for services provided to VHP Employer Group Plan Members to:

    ​​VHP Commercial
    P.O. Box 26160
    San Jose, CA 95159

    Please mail claims for services provided to VHP Covered California Plan Members to:

    VHP Claims Department
    P.O. Box 26160
    San Jose, CA 95159

    Please mail claims for services provided to VHP Individual and Family Plan Members to:

    VHP Claims Department
    P.O. Box 26160
    San Jose, CA 95159​

    Please mail claims for services provided to VHP Medi-Cal Members to:

    VHP Medi-Cal
    P.O. Box 28407
    San Jose, CA 95159

    Please mail claims for services provided to VHP Medi-Cal Members to:

    VHP Medi-Cal
    P.O. Box 28407
    San Jose, CA 95159

     

    Electronic Medical Claims Submission 

    You can electronically submit VHP Employer Group, Covered California, and Individual and Family Plan claims through VHP’s clearinghouse, Utah Health Information Network (UHIN). Please have your clearinghouse contact UHIN directly for set-up:

      VHP Clearinghouse Information.

      VHP’s Trading Partner Number (TPN):  HT007700-001

      UHIN Customer Service Number: 877.693.3071

      Common TPN connections with VHP

                  ImageNet:       HT007700-002

                 Office Ally:      HT006842-001

      If you have any questions, please contact VHP’s Provider Relations Department at 1.408.885.2221.

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