Health Insurance » Information for CCHP Providers

Claims Information

Font Size: + -
Share & Bookmark, Press Enter to show all options, press Tab go to next option
Print

Submitting Claims

The claim submission timeframe for Contra Costa Health Plan is 180 days from the date of service, or primary explanation of benefits (EOB), for both contracted and non-contracted providers. Claims received after 180 days will be denied for untimely filing. Providers have 365 days to dispute claim processing.

Using Availity 

  • Contra Costa Health Plan (CCHP) uses Availity as our clearinghouse.

  • You must register with Availity in order to submit EDI claims to CCHP. You may begin your registration process on the Availity site. 

  • The CCHP payer ID is CCHS.  

Using the ccLink Provider Portal

  • You may also sign up for CCHP's ccLink Provider Portal where you can enter and submit claims directly to CCHP.
  • Sign up on Information for Providers, complete the ccLink Provider Portal Access Agreement form, and email it to CCHPportalsupport@cchealth.org. 
  • If you have already signed up for ccLink Provider Portal access, reference the website for instructions on submitting claims. 

Paper Claims 

If you must submit a paper claim, mail your completed claim form along with all required supporting documents to:

CCHP Claims Department
P.O. Box 5122
Lake Forest, CA 92609

 

If you are a non-contracting provider and have never submitted a claim to CCHP or within the last 2 years, you must submit a current W9 to ARsupport@cchealth.org for IRS verification through the County Auditor's office. If you do not submit a W9 before submitting claims, your claims will not be processed until we receive a W9. As a courtesy, CCHP may reach out to you to request a W9. However, if a W9 is not received within 14 calendar days, your claims will be voided and you must resubmit your claims to be processed.

Payments

CCHP continues to offer electronic payments to providers. To register, please submit your request to EDIsupport@cchealth.org. To receive a RA (Remittance Advice) electronically, please sign up for our ccLink Provider Portal based on the instruction above.

Resources