How To Submit Claims To Capital Health Plan,

Capital Health Plan,'s reviewed provider guidance starts with this submission channel: Electronic claims through clearinghouses. Confirm the member plan and claim type before using a payer ID or paper address.

At a glance

• CHP encourages electronic claims submission, supports direct data entry through CHP Connect, and assigns payer ID 95112. The provider FAQ says CHP accepts electronic claims through several clearinghouses and offices must follow the EDI Companion Guide. The reviewed sources did not provide a paper claim mailing address for routine medical claims, and no corrected-claim instructions were located in the sources reviewed.

Submission channels

• Electronic claims through clearinghouses
• Direct data entry through CHP Connect
• Paper submission not specifically described in the reviewed provider pages

Electronic claims payer IDs

• 95112

Paper claims addresses

• Not clearly published in the researched sources.

Corrected claims and follow-up

• Not clearly published in the researched sources.

• Claims status resource 1

• Claims status resource 2

Caveats

• The reviewed sources do not list a routine paper claim address for medical claims.
• The reviewed sources do not identify a public claims status portal URL beyond CHP Connect/provider resources.
• Prescription-drug reimbursement uses different instructions and is not the same as routine medical claim submission.

Provider resources

• Provider Care Resources (official)
• Network Support Services (official)
• Provider FAQ (official)
• Provider Directory (official)
• Referrals and Prior Authorization (official)

Sources