Scripps Health Plan Services
medical
Summary
Scripps Health Plan Services is a medical payer operating in California. Claims route under payer ID SHPS1, 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
SHPS1Also seen as 7102- Also known as
- SHPS
- 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 Services?
- The payer ID for Scripps Health Plan Services is SHPS1. Alternate IDs seen across clearinghouses include 7102.
- Does Scripps Health Plan Services require ERA enrollment?
- Yes. Scripps Health Plan Services requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
- What states does Scripps Health Plan Services cover?
- Scripps Health Plan Services 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 Services offer?
- Scripps Health Plan Services covers medical.
- Can I submit claims to Scripps Health Plan Services electronically?
- Yes. Scripps Health Plan Services 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 Spot something out of date?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.