Provider Portal
Information you need at your fingertips. For your convenience, we offer a secure portal that gives our network providers access to eligibility and benefits, claims, forms, the provider manual, provider updates and more. Please have your tax identification (ID) number and national provider ID number available.
Participating Providers: Commercial HMO Claims Submission
Please submit Sutter Health Plus HMO members out-of-area emergency and urgent care claims to:
Sutter Health Plus
P.O. Box 160385
Sacramento,
CA 95816
Sutter Health Plus includes the claims submission address for all other services on the back of the member’s identification card. Providers have 180 calendar days from the date of service to submit claims.
Sutter Health Plus acknowledges paper claims within 15 business days following receipt. The claims receipt date is the business day Sutter Health Plus first receives the claim. If we pay or deny a paper claim within 15 business days, the remittance advice serves as acknowledgment of claims receipt.
Call Sutter Health Plus Member Services, weekdays, 8:00 am – 7:00 pm at (855) 315-5800 or TTY: (855) 830-3500 to obtain acknowledgment of claim receipt.
Contact Us
Sutter Health Plus Member Services is available weekdays, 8:00 am – 7:00 pm at (855) 315-5800 or TTY: (855) 830-3500, or use our online contact us form.