Partnership HealthPlan of California
Also covers / subsidiaries: Partnership HealthPlan, PHC, PHPCA
Core Payer & Clearinghouse Profile
Electronic Payer ID
10164
PHPCA is the EDI payer ID for 837/835; some clearinghouses also list CPP08. (California)
Timely Filing Limit (TFL)
Varies — confirm via portal / clearinghouse
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse Gateway
National Clearinghouse / EDI Gateway
Provider Services
800-863-4155
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Partnership HealthPlan of California, Medi-Cal Claims, P.O. Box 1368, Suisun City, CA 94585-1368
Provider Portal
https://www.partnershiphp.org/Providers/Claims/Pages/default.aspx
California Medi-Cal managed-care plan (COHS) serving 24 Northern California counties. EDI enrollment required before electronic submission.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Partnership HealthPlan of California.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Partnership HealthPlan of California.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Partnership Health Plan Of California | 10164 | Non-Par | None | 837P837I270/271276/277Dental |
| Partnership Health Plan Of California | PHPCA | Non-Par | Required | 837P837I835 ERA |
Resolution Tools for Partnership HealthPlan of California Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
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