Partnership HealthPlan of California

Summary

Partnership HealthPlan of California is a Medicaid managed care organization, part of Partnership HealthPlan, offering medical coverage operating in California. Claims route under payer ID 10164, with 6 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Partnership HP Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

10164Also seen as 12M81, 7497, PHC100680301406, PHP02, PHPOC, SX140

Also known as

Partnership Health Plan California, Partnership Health Plan of California

Uses CAQH

YesApplication route: Payer portal application

Service area

CA (Northern CA counties)

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 Partnership HealthPlan of California?

The payer ID for Partnership HealthPlan of California is 10164. Alternate IDs seen across clearinghouses include 12M81, 7497, PHC100680301406, PHP02.

How long does Partnership HealthPlan of California provider enrollment take?

Partnership HealthPlan of California provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Partnership HealthPlan of California require CAQH?

Yes. Partnership HealthPlan of California uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does Partnership HealthPlan of California require ERA enrollment?

Yes. Partnership HealthPlan of California requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Partnership HealthPlan of California cover?

Partnership HealthPlan of California operates in CA (Northern CA counties). Coverage can differ by plan and product line, so confirm the specific plan before you file.