PartnershipAdvantage

Auth Requirements and Forms:

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

Other Information:

• Initial Assessment/Annual Reassessment
• PartnershipAdvantage Prior Authorization Criteria Guidelines - 2009

RAF/TAR Issues & RAF/TAR Status:

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

Claims Mailing Address:

Partnership HealthPlan of California
(PartnershipAdvantage Claims)
P.O. Box 610
Suisun City, California 94585-0610

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.

Electronic Data Interchange:

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

EDI Publications