Submit claims for SHP members within 180 calendar days from the date of service. Facility claims must be billed on the UB-04 form. Professional claims must be billed on the CMS-1500 form. Claims submitted to the incorrect address will be routed to the correct address; however, redirecting will delay claim processing.
Out-of-Area Emergency and Urgent Care Claims
Submit out-of-area emergency and urgent care claims to the following address:
Sutter Health Plus
P.O. Box 160385
Sacramento, CA 95816
All Other Claims
Submit all other claims for SHP members to the member’s assigned participating medical group (PMG). See the SHP member identification card for the assigned PMG and the claim submission address or call Sutter Health Plus Member Services weekdays, 8:00 am – 7:00 pm at (855) 315-5800 or TTY: (855) 830-3500.