Santa Clara Family Health Plan
Also covers / subsidiaries: SCFHP
Core Payer & Clearinghouse Profile
Electronic 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 Gateway
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).
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Santa Clara Family Health Plan.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Santa Clara Family Health Plan.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Santa Clara Family Health Plan | 10876 | Non-Par | None | 276/277 |
| Santa Clara Family Health Plan | 24077 | Par | Required | 837P837I835 ERA |
Resolution Tools for Santa Clara Family Health Plan 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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