Claims
Claims Submission
Thank you for taking care of Community Health Group members. To ensure timely processing and payment of claims, we encourage you to submit claims via EDI using one of the clearinghouses below. Both contracted and non-contracted providers may submit claims
to Community Health Group via EDI.
Alternatively, if you are a non-contracted provider, you may mail your claims to the following address:
Medi-Cal Claims: Medicare Claims:
Community Health Group Community Health Group
PO Box 210100 PO Box 210157
Chula Vista, CA 91921 Chula Vista, CA 91921
If you are submitting claims to Community Health Group for the first time, please make sure to attach your W-9 form and NPI to avoid delays in the processing of claims and correspondence. You may send this via email at providerenrollment@chgsd.com, fax at (619)382-1214, or mail out to:
Community Health Group
Attn: Provider Enrollment
2420 Fenton St., Suite 100
Chula Vista, CA 91914
Non-Contracted Provider Accepted Codes and Reimbursement
The links below contain codes that are considered covered benefits for the Medi-Cal product line. This information is provided by the California Department of Health Care Services (DHCS) as information only for provider reference. CHG will reimburse non-contracted providers at the Medi-Cal rates and apply Medi-Cal guidelines for claims processing.
Checking Claim Status
All contracted providers have access to the CHG Provider Portal and must check the claim status online. Non-contracted providers may email ooaprov@chgsd.com requesting claim status.
Our Provider Services Specialists are available at 619-240-8933 or ooaprov@chgsd.com to assist with any additional Claims questions.