PHC California

Rachel Sakai
AHF Provider

Contact Us

Claims Department
For all claims matters, including claim submission, status inquiries and disputes.

Claims Submission:
Electronic Submission: Change Healthcare 95411
Starting January 1, 2021 PHC California is no longer accepting paper claims.  All claims from providers must be submitted to our clearing house Change Healthcare. For corrected claim submission(s) please review our Corrected Claim Guidelines.

Call or Email:
For claims inquiries please call the claims department at (888) 662-0626 or email Claims [email protected].  If emailing an inquiry please do not include Patient Protected Health Information (PHI), but the best call back number or email to reach you.

Claims Dispute:
Claims payment disputes, appeals, and supporting documentation such as copies of medical records, authorization forms, or other documents can be submitted.

Claims
PHC California
P.O. Box 472377
Aurora, CO  80047

Fax:
(888) 235-9274

Member Services
To check enrollee eligibility and schedule enrollee non-emergency transportation.

Call:
(800) 263-0067, Monday through Friday, 8:00 a.m. to 8:00 p.m.  Member Services is closed on holidays.

Utilization and Case Management
To submit an authorization request or check status on an authorization, request assistance with a referral, report a hospitalization, or contact an enrollee’s case manager.

Call:
(800) 474-1434, Monday through Friday, 8:30 a.m. to 5:30 p.m.

Utilization Management Fax:
(888) 238-7463

Case Management Fax:
(888) 235-8327

Contracting and Provider Relations
For all provider contracting matters, grievances, request for plan information or education, etc.

Call:
(888) 726-5411, Monday through Friday, 8:30 a.m. – 5:30 p.m.   Closed weekends and holidays.

Fax:
(888) 235-7695

Write:
Contracting and Provider Relations
PHC California
1001 N. Martel Ave.
Los Angeles, CA  90046

Credentialing
For all credentialing inquires including application submission.

Call:
(888) 726-5411, Monday through Friday, 8:30 a.m. to 5:30 p.m. PST.  Closed weekends and holidays.

Fax:
(888) 235-8256

Write:
Credentialing
PHC California
1001 N. Martel Ave.
Los Angeles, CA  90046


DHCS 030716 PHC Form 1.0