The Claims Department processes medical bills submitted by participating physicians, as well as other medical providers. All claims are entered (or when available imported electronically) into our core system, then adjudicated according to contractual agreements and prior authorization requirements.
IPA Claims Contact
Claims Department (408) 937-3600
Submitting Claims
Claims may be submitted either by mail or electronically. If you are submitting a claim which requires inclusion of medical notes, surgical notes, explanation of benefits, or forms, please send a paper claim instead of an electronic claim. This will ensure the claim and the appropriate attachments are received by the Claims Department.
**Contracted providers should submit claims 90 days from the date of service. Non-contracted providers should submit claims 180 days from the date of service. Failure to do so will result in claims denying for timely filing.
Paper/Mail Claim Submission
For any 2023 claims, please mail (including all appropriate attachments) to:
Physicians Medical Group of San Jose
Claims Department
2304 Zanker Rd., San Jose, CA 95131
Attn: Specify Commercial or Medi-Cal/Healthy Families/Healthy Kids
Electronic Claim Submission
For 2024 claims, please submit through the Claims Online Portal - Optum Connect (hcp-connect.com)
Claim Status
For claim status, please call (408) 937-3600. For contracted and non-contracted providers who do not have access to the Claims Online Portal, you can request to sign-up here: Access Form (optum-connect.com)
