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Payer Directory
Scripps Health Plan: payer ID and claims support
Scripps Health Plan uses payer ID SHPM1. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
SHPM1Commercial · MedicareScripps Health Plan at a glance
What billers need before running a check.
Payer ID
SHPM1Also known as 1199, 33099
Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
medical
Commercial · Medicare
Operating area
California
Payer website
www.scrippshealthplan.comSupported transactions
What can be exchanged electronically with Scripps Health Plan today.
| Transaction | Status |
|---|---|
Eligibility (270/271) Real-time benefit and coverage checks | NOT AVAILABLE |
Claim status (276/277) Where a submitted claim stands | NOT AVAILABLE |
Professional claims (837P) Physician and outpatient claims | SUPPORTED |
Institutional claims (837I) Facility claims | SUPPORTED |
Dental claims (837D) Dental claims | NOT AVAILABLE |
Remittance (835 ERA) Electronic remittance advice | ENROLLMENT REQUIRED |
Coordination of benefits Secondary-payer routing | NOT AVAILABLE |
Claim attachments (275) Supporting documentation | NOT AVAILABLE |
Frequently asked questions
What is the payer ID for Scripps Health Plan?+–
Scripps Health Plan uses payer ID SHPM1. It also appears as 1199, 33099 in some systems.
Does Scripps Health Plan support real-time eligibility verification?+–
Not electronically today. Coverage for Scripps Health Plan has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.
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