SHIP Resources for Providers

SHIP Resources for Providers

Referral & Pre-certification Request Forms

Referral Request Form

Due to COVID-19, as of March 16, 2020 and until further notice, no referrals from University Health Services are needed before accessing medical and mental health care. If needed, please see this UHS letter for documentation.  

Pre-certification Request Form for Medical & Behavorial Health Services

Submit request with current and relevant clinical documentation to Wellfleet.

Phone: (833) 302-9785
Fax:  (559) 243-7012
Email: HC-UMLeadershipTeam@healthcomp.com

Pre-certification Request Form for Transgender Services

Fax request with supporting documentation to the SHIP Office.

Fax: (510) 642-9119

Provider Contacts

Wellfleet eligibility, benefit, claims, prior authorization, utilization review and case management inquiries

Phone: (833) 302-9785
Monday-Friday, 6am-5pm PST

Claim status online

Wellfleet Case Management Request

Phone: (833) 302-9785
Fax: (559) 243-7012
Email: HC-UMLeadershipTeam@healthcomp.com

Wellfleet Rx/Express Scripts

Customer Service Phone: (877) 640-7940 

Prior-Authorization Phone: (877) 640-7938 
Electronic Requests: https://esrx.com/PA

Blue Shield of California Credentialing Status and Inquiries

Please see this guide for more information about the credentialing process.

Phone: (800) 258-3091, select option 3

Email credentialing paperwork to: BSCInitialApp@blueshieldca.com

Blue Shield of California Contracting & Rate Inquiries

Phone: (800) 258-3091, select option 3
Email: BSCProviderinfo@blueshieldca.com

Zelis Payments

Phone: (877) 828-8770 or (855) 774-4392 
8 am – 7 pm EST
https://www.zelispayments.com/

How to file claims & EFT Payments

For services in California, submit claims to Blue Shield of California PPO Network.

Electronic Submission via EDI

See this guide for information on Electronic Data Exchange claim submission.

Paper Claim Mailing Address:

Blue Shield of California
P.O. Box 272540 
Chico, CA 95927-2540

More information about claim submission can be found on the Blue Shield website
For services outside California, submit claims to Cigna PPO Network.

Electronic Submission via EDI

Paper Claim Mailing Address:

Cigna
PO Box 188061 
Chattanooga, TN 37422-8061

Electronic Funds Transfer (EFT) Claim Payments

After receiving the first paper check issued by Wellfleet/HealthComp, providers may register on the Zelis website by clicking on “Provider Login”. Providers may also contact Zelis at (877) 828-8770 or (855) 774-4392 (8am–7pm EST) to register or for questions and website issues.

How to make address or TIN updates with Wellfleet and Blue Shield

Mailing Address Submit current W9 and letter containing the updated mailing address to HealthComp at HCNetAdminW9@healthcomp.com and Blue Shield at bscproviderinfo@blueshield.com
Physical Address

Submit updated W9 to HCNetAdminW9@healthcomp.com and
bscproviderinfo@blueshield.com.

Taxpayer Identification Number (TIN)

Submit updated W9 to HCNetAdminW9@healthcomp.com and
bscproviderinfo@blueshield.com.