S
Payer Directory
Scripps Health Plan Services: payer ID and claims support
Scripps Health Plan Services uses payer ID SHPS1. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
SHPS1Commercial · MedicareScripps Health Plan Services at a glance
What billers need before running a check.
Payer ID
SHPS1Also known as 7102
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.scrippshealthplanservices.comSupported transactions
What can be exchanged electronically with Scripps Health Plan Services 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 Services?+–
Scripps Health Plan Services uses payer ID SHPS1. It also appears as 7102 in some systems.
Does Scripps Health Plan Services support real-time eligibility verification?+–
Not electronically today. Coverage for Scripps Health Plan Services has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.
Automate the rest of your revenue cycle
From $0.50 per check, pay-as-you-go. No contract, no implementation project.
65%
fewer denials at Valley Diabetes & Obesity
90%
of eligibility checks fully automated
$107–149K
annual savings, small specialty practice
24 mo
in production
