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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.

  • Employer Group Plan Members

    ​​​​VHP Commercial
    P.O. Box 26160
    San Jose, CA 95159
  • Covered California Plan Members

    VHP Claims Department
    P.O. Box 26160
    San Jose, CA 95159
  • Individual and Family Plan Members

    VHP Claims Department
    P.O. Box 26160
    San Jose, CA 95159​
  • Medi-Cal Members

    VHP Medi-Cal
    P.O. Box 28407
    San Jose, CA 95159 
  • Healthy Kids / Healthy Families

    P.O. Box 28410
    ​San Jose, CA 95159
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News & Events

Address Change for Covered California and Individual & Family Plan Claims (Effective 8/25/2018)

Effective August 25, 2018, the address for VHP Covered California and Individual & Family Plan claims will change. You can electronically submit them in the same manner as VHP Commercial claims through VHP’s clearinghouse, Utah Health Information Network (UHIN). Please have your clearinghouse contact UHIN directly for set-up:
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

For paper claims, please send to the same address as VHP Commercial claims:

VHP Covered California and Individual & Family Plan Claims
P.O. Box 26160
San Jose, CA 95159

If you have any questions about this change, please contact VHP’s Provider Relations Department at 408.885.2221.

Last updated: 11/28/2018 9:52 AM