Payer ID
24077
Direct-to-SCFHP ID for non-delegated claims (Change Healthcare + Office Ally). Delegated groups use different IDs (e.g. Optum Care Network EXC01, VHP01).
Timely Filing Limit (TFL)
1 year from date of service (1 year from primary EOB if secondary)
Appeal Window
Provider Dispute Resolution within 365 days of remittance (Medi-Cal); 120 days for DualConnect D-SNP
Clearinghouse
Change Healthcare (Optum); Office Ally
Provider Services
408-874-1788
Claims Fax
408-376-3537
Claims Address
Santa Clara Family Health Plan, P.O. Box 18640, San Jose, CA 95158
Provider Portal
https://providerportal.scfhp.com
County-organized Medi-Cal (Medicaid) plan for Santa Clara County (CA); also runs SCFHP DualConnect (HMO D-SNP).
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
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