Health Plan of San Joaquin

Summary

Health Plan of San Joaquin is a medical payer operating in California. Claims route under payer ID 68035, with 3 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID

68035Also seen as 10177, 3469, SJHP

Also known as

Health Plan San Joaquin (HPSJ), Mountain Valley Health Plan, San Joaquin Health Administrators

Service area

CA

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Health Plan of San Joaquin?

The payer ID for Health Plan of San Joaquin is 68035. Alternate IDs seen across clearinghouses include 10177, 3469, SJHP.

Does Health Plan of San Joaquin require ERA enrollment?

Yes. Health Plan of San Joaquin requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.

What states does Health Plan of San Joaquin cover?

Health Plan of San Joaquin operates in CA. Coverage can differ by plan and product line, so confirm the specific plan before you file.

What types of coverage does Health Plan of San Joaquin offer?

Health Plan of San Joaquin covers medical.

Can I submit claims to Health Plan of San Joaquin electronically?

Yes. Health Plan of San Joaquin is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).