Medi-Cal

Claims Mailing Address:

Partnership HealthPlan of California
(Medi-Cal Claims)
P.O. Box 1368
Suisun City, California 94585-1368

Claims Status:

PHC Claims Inquiry System is available online, click here to check claims status.

Claims Issues:

Please contact the Claims Department at
(707)863-4130, Monday through Friday 8 a.m. to 5 p.m.

Auth Requirements and Forms:

• Referral Authorization Form (RAF)
• Treatment Authorization Request (TAR) Form
• Treatment Authorization Request (TAR) Requirements

Member Primary Care Physician Selection Forms

• Instructions for Providers
• English Form
• Spanish Form

RAF/TAR Issues & RAF/TAR Status:

Please contact the Health Services Department
at (707)863-4133

Electronic Data Interchange:

For EDI assistance, contact the EDI team at
(707) 863-4520 or visit the EDI page at:

EDI Publications