Non-participating providers must submit out-of-area emergency and urgent care claims for Sutter Health Plus members to the following address:
Sutter Health Plus
P.O. Box 160385
Sacramento, CA 95816
Non-participating providers must submit all other claims to the member’s participating medical group (PMG). Sutter Health Plus includes the PMG and claims submission address on the member’s identification (ID) card. Providers can also call Sutter Health Plus Member Services at (855) 315-5800 for the member’s PMG and claims submission address. Member Services is available Monday through Friday, 8:00 am to 7:00 pm.
Providers must bill professional claims on the CMS 1500 form and facility claims on the UB 04 form. Sutter Health Plus will route any misdirected claims to the correct address. Redirecting will delay claims processing.