Scripps Health Plan
medical
Summary
Scripps Health Plan is a medical payer operating in California. Claims route under payer ID SHPM1, with 1 alternate ID in use across clearinghouses. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.
At a glance
- Payer ID
SHPM1Also seen as 1199- Also known as
- Scripps Health Plan Services
- Service area
- CA
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | A few days |
Common questions
- What is the payer ID for Scripps Health Plan?
- The payer ID for Scripps Health Plan is SHPM1. Alternate IDs seen across clearinghouses include 1199.
- Does Scripps Health Plan require ERA enrollment?
- Yes. Scripps Health Plan requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
- What states does Scripps Health Plan cover?
- Scripps Health Plan operates in CA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Scripps Health Plan offer?
- Scripps Health Plan covers medical.
- Can I submit claims to Scripps Health Plan electronically?
- Yes. Scripps Health Plan is reachable through clearinghouses for professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.